Individual
KRISTIE TILLMAN TUSCANY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 MEDICAL PARK RD STE 300, COLUMBIA, SC 29203-6839
(803) 434-8800
(803) 434-8326
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
24424
SC
363LC0200X
Critical Care Medicine Nurse Practitioner
24424
SC
Other
Enumeration date
01/25/2021
Last updated
02/21/2023
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