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Tara Nicole Gresham, HS/SF-IDC
Basic Emergency Medical Technician in Charleston, South Carolina
NPI 1679601413

Tara Nicole Gresham is a Basic Emergency Medical Technician based in Fairhope, SC. Tara Nicole Gresham practices in Charleston, SC and has the professional credentials of HS/SF-IDC. The NPI Number for Tara Nicole Gresham is 1679601413 and holds a License No. (South Carolina).

The current practice location address for Tara Nicole Gresham is 1050 Register St, Charleston, SC and can be reached out via phone at 843-740-3147.

Location: 1050 Register St, Charleston, SC, 36532-5932
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679601413
Provider Name
Tara Nicole Gresham
Credential
HS/SF-IDC
Provider Entity Type
Individual
Gender
Female
Address
1050 Register St, Charleston, SC, 36532-5932
Phone Number
843-740-3147
Fax Number
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1050 Register St
City
Charleston
State
South Carolina
Zip
29405-2421
Phone Number
843-740-3147
Fax Number
person
Provider Business Mailing Address Details
Address
1050 Register St
City
Charleston
State
South Carolina
Zip
29405-2421
Phone Number
843-740-3147
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
()
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 3
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
Independent Duty Corpsman
Taxonomy
1710I1002X
License No.
()
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
person
Provider's Taxonomy Details 4
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
()
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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