Individual
TABITHA ELIZABETH DAVIS STELLATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
144 N RAVENEL ST, FLORENCE, SC 29506-2641
(843) 777-2800
Mailing address
144 N RAVENEL ST, FLORENCE, SC 29506-2641
(843) 777-2800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MT211557
PA
Other
Enumeration date
06/08/2016
Last updated
11/21/2023
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