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Individual
MS. TAMMY E. CARLSON-LITTLE
Active
Individual
MS. TAMMY E. CARLSON-LITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC005522
PA
213ER0200X
Radiology Podiatrist
SC005522
PA
213ES0000X
Sports Medicine Podiatrist
SC005522
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
SC005522
PA
213ES0131X
Foot Surgery Podiatrist
SC005522
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007621509
AETNA
—
05
—
0019606750001
—
PA
01
—
01489224
BLUE SHIELD
PA
01
—
323538
UPMC HEALTH PLAN
—
01
—
P00278620
TRAVELERS MEDICARE
—
Enumeration date
04/14/2006
Last updated
03/15/2010
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