Individual
DR. ANDREW DEAN TABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
853 N CHURCH ST, SUITE 620, SPARTANBURG, SC 29303-3098
(864) 573-7511
(864) 560-1690
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL29077
SC
207RG0100X
Gastroenterology Physician
Primary
29077
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290777
—
SC
05
—
5921873
—
NC
01
—
P01120205
RAILRAOD MEDICARE
SC
Enumeration date
10/11/2006
Last updated
03/20/2023
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