Individual
TAMELLIA DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
134 TOMOKA TRL, LONGS, SC 29568-8678
(843) 990-1125
Mailing address
134 TOMOKA TRL, LONGS, SC 29568-8678
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
E2R5R2E4
SC
Other
Enumeration date
01/06/2023
Last updated
01/07/2023
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