Individual
MRS. TAMMY A HIGHTOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
620 MAGNOLIA ST, ORANGEBURG, SC 29115-6980
(803) 536-1571
(803) 536-1463
Mailing address
277 2ND ST, BAMBERG, SC 29003-2801
(803) 245-8154
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
890
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413093
—
SC
Enumeration date
07/13/2006
Last updated
05/19/2013
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