Individual
TAMARA LYNAE GARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
121 CHESTERFIELD HWY STE A, CHERAW, SC 29520-3024
(704) 294-5100
Mailing address
121 CHESTERFIELD HWY STE A, CHERAW, SC 29520-3024
(704) 294-5100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
038205
NC
251E00000X
Home Health Agency
Primary
—
—
251F00000X
Home Infusion Agency
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
02/18/2014
Last updated
07/11/2014
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