Individual
MRS. TAMMY MCCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
409 GOSSETT DR, WILLIAMSTON, SC 29697-1848
(864) 617-1144
Mailing address
205 PADDOCK RD, ANDERSON, SC 29621-5338
(864) 617-1144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3769
SC
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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