Individual
TAMMY TENACE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
431 MEADOWLARK ST, SHAW A F B, SC 29152-5019
(803) 895-6580
Mailing address
5610 PERSIMMON ST, APT B, SHAW A F B, SC 29152-1310
(803) 499-1705
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R097322
MD
Other
Enumeration date
10/12/2005
Last updated
07/08/2007
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