Organization
HEALTH PROMOTION SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMI O BYRD RDH (CEO)
(803) 348-2973
Entity
Organization
Contact information
Practice address
100 OLD CHEROKEE RD, SUITE F, BOX 14, LEXINGTON, SC 29072-7959
(803) 808-2304
(803) 808-5642
Mailing address
100 OLD CHEROKEE RD, SUITE F, BOX 14, LEXINGTON, SC 29072-7959
(803) 808-2950
(803) 808-5642
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
927
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
187113
—
SC
05
—
ZA9670
—
SC
Enumeration date
04/25/2006
Last updated
05/31/2016
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