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Individual

TAMEKA L. GARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6012
(864) 560-6013
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19738
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP4622
SC
05
NP3613
SC
01
SC68885019
MEDICARE PIN
SC
Enumeration date
10/01/2015
Last updated
01/06/2021
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