Individual
DR. TARESSA GILLIG HANEY
Active
Individual
DR. TARESSA GILLIG HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01059626A
IN
207W00000X
Ophthalmology Physician
Primary
2008-00936
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000289876
UNISON HEALTH PLAN OF SC
SC
01
—
01212093
AMERIGROUP COMMUNITY CARE
SC
01
—
150TA
BCBSNC
NC
01
—
20090727
SELECT HEALTH OF SC
SC
01
—
2687
EVOLUTIONS HEALTHCARE
NC
01
—
56162
MEDCOST
NC
05
—
5909916
—
NC
01
—
770893
WELLCARE
SC
01
—
87882
CHCCARES OF SC
SC
01
—
9457063
AETNA
NC
05
—
N0093E
—
SC
01
—
P01223901
MEDICARE-RAILROAD
NC
Enumeration date
05/08/2007
Last updated
03/30/2021
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