Individual
TAMMY L MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
75 BAYLOR DR STE 155, BLUFFTON, SC 29910-8965
(843) 706-2523
Mailing address
1010 MEDICAL CENTER DR # 200, HARDEEVILLE, SC 29927-3447
(843) 645-8220
(843) 645-8221
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20432
SC
363LF0000X
Family Nurse Practitioner
RN112985
GA
363LF0000X
Family Nurse Practitioner
RN112985NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106275669B
—
GA
01
—
112985
NP LICENSE
GA
01
—
511I500096
MEDICARE
GA
Enumeration date
03/08/2007
Last updated
04/04/2019
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