Individual
MRS. TAMMY STUCKEY SHORTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
376 W PALMETTO ST, FLORENCE, SC 29501-4418
(843) 799-0642
Mailing address
221 LEE ST, DARLINGTON, SC 29532-4817
(803) 370-3420
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21901
SC
Other
Enumeration date
07/02/2018
Last updated
05/13/2020
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