Individual
MS. TAMMY WYNETTE PLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 E HOSPITAL ST, MANNING, SC 29102-3153
(803) 433-3000
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(803) 435-5270
(803) 433-0154
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
19641
SC
363LG0600X
Gerontology Nurse Practitioner
19641
SC
Other
Enumeration date
08/06/2015
Last updated
07/27/2016
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