Individual
TIWARNA LANETTE GALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2401 SUNSET BLVD, WEST COLUMBIA, SC 29169-4717
(803) 271-3944
Mailing address
2401 SUNSET BLVD, WEST COLUMBIA, SC 29169-4717
(803) 796-8126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26039
SC
Other
Enumeration date
10/21/2022
Last updated
04/25/2023
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