Individual
TANYATTA LANE-KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR STE 330, COLUMBIA, SC 29203-6862
(803) 434-7100
(803) 434-6889
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22205
SC
363LA2100X
Acute Care Nurse Practitioner
Primary
22205
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5549
—
SC
Enumeration date
09/07/2018
Last updated
07/17/2024
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