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Individual

MISS TAMMY D. MORASKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 674-2542
(843) 674-2683
Mailing address
PO BOX 1792, COLUMBIA, SC 29202-1792

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
115460
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
3350
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8050228
NC
Enumeration date
11/17/2005
Last updated
10/25/2012
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