Individual
DR. TAMMY T TULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
109 FINNEGAN CT, MYRTLE BEACH, SC 29579-4205
(843) 903-0949
(843) 903-1101
Mailing address
PO BOX 50997, 4606 MOONBEAM CT, MYRTLE BEACH, SC 29579-0017
(843) 520-0576
(843) 520-4398
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1061
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DA9681
—
SC
Enumeration date
05/15/2006
Last updated
08/01/2008
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