Individual
LINDA TANGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
141 MCDONALD CT, MYRTLE BEACH, SC 29588-6134
(843) 293-5601
(843) 293-5655
Mailing address
PO BOX 14247, SURFSIDE BEACH, SC 29587-4247
(843) 293-5601
(843) 293-5655
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21403
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110233763
RAILROAD MEDICARE
SC
05
—
214039
—
SC
Enumeration date
12/05/2005
Last updated
11/08/2011
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