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Individual

MRS. TARA NICHOLE MEREDITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP-C

Contact information

Practice address
3 RICHLAND MEDICAL PARK DR STE 510, COLUMBIA, SC 29203-6854
(803) 296-2726
(803) 296-3319
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
18921
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NP3137
SC
Enumeration date
09/18/2014
Last updated
02/01/2023
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