Individual
TARINA MARLENE MENDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
207 MAIN ST, SENECA, SC 29678-3245
(864) 882-2906
Mailing address
701 PINE CREEK CT, SENECA, SC 29672-2468
(864) 885-9611
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
16207
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162077
—
SC
Enumeration date
05/30/2007
Last updated
07/08/2007
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