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Individual

TAMMY SUE PAGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
122 OKATIE CENTER BLVD N STE 100, OKATIE, SC 29909-3782
(843) 706-8840
Mailing address
70 BASS LAKE DR, RIDGELAND, SC 29936-6704

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
254674
SC
363LF0000X
Family Nurse Practitioner
Primary
29977
SC

Other

Enumeration date
10/08/2021
Last updated
02/13/2025
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