Individual
TAMARA LEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3236 HOLMESTOWN RD, MYRTLE BEACH, SC 29588-7495
(843) 663-8063
(843) 663-8163
Mailing address
PO BOX 547, LITTLE RIVER, SC 29566-0547
(843) 663-8000
(843) 663-8109
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
15020
TN
363LF0000X
Family Nurse Practitioner
Primary
18095
SC
Other
Enumeration date
06/05/2010
Last updated
09/23/2013
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