Individual
MRS. TONA L TEDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1268 SOUTH FOURTH ST SUITE A, CARESOUTH CAROLINA, INC., HARTSVILLE, SC 29550-4311
(843) 332-3422
(843) 332-3985
Mailing address
1268 SOUTH FOURTH STREET SUITE A, CARESOUTH CAROLINA, INC., HARTSVILLE, SC 29550-4311
(843) 332-3422
(843) 332-3985
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
887
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1047
—
SC
01
—
P00906620
RAILROAD MEDICARE PTAN
SC
Enumeration date
09/15/2005
Last updated
09/01/2017
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