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Individual

TAMMY GAINEY HUCKABEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
301 E JACKSON ST, DILLON, SC 29536-2509
(843) 774-4114
Mailing address
524 DEBUSEY DR, HARTSVILLE, SC 29550-2826
(843) 861-1494

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21094
SC
390200000X
Student in an Organized Health Care Education/Training Program
SC

Other

Enumeration date
05/30/2017
Last updated
12/07/2018
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