Individual
MARCELLA ANN TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1213 REMOUNT RD, NORTH CHARLESTON, SC 29406-3433
(843) 973-5415
(833) 994-1101
Mailing address
1213 REMOUNT RD, NORTH CHARLESTON, SC 29406-3433
(843) 973-5415
(833) 994-1101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
368
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080107585
RR MEDICARE
SC
01
—
GP1551
MEDICAID GROUP
SC
01
—
SC2318I818
MEDICARE PIN
SC
05
—
T00656
—
SC
Enumeration date
04/28/2006
Last updated
04/03/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us