Individual
TAMARA T BANTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 CORTLAND RD, GREENVILLE, NC 27834-6358
(252) 327-3539
Mailing address
1101 CORTLAND RD, GREENVILLE, NC 27834-6358
(252) 327-3539
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NC
251E00000X
Home Health Agency
—
NC
Other
Enumeration date
01/16/2026
Last updated
01/17/2026
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