Individual
TARA WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
333 S PINE ST, SPARTANBURG, SC 29302-2622
(864) 577-9970
(864) 577-9952
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39789
SC
Other
Enumeration date
04/22/2015
Last updated
07/29/2019
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