Individual
TARA ZEBADUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1303 38TH AVE N, MYRTLE BEACH, SC 29577-1315
(866) 389-2727
Mailing address
269 DEEP BLUE DR, MYRTLE BEACH, SC 29579-3557
(843) 685-3003
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19411
SC
Other
Enumeration date
04/20/2015
Last updated
12/09/2018
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