Individual
MRS. TANYA MADDOX CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
75 CALHOUN ST, CHARLESTON, SC 29401-3538
(843) 745-2183
(843) 745-2182
Mailing address
75 CALHOUN ST, CHARLESTON, SC 29401-3538
(843) 745-2183
(843) 745-2182
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
90070
SC
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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