Individual
TAMMY ELIZABETH BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
200 UNIVERSITY RDG, GREENVILLE, SC 29601-3635
(864) 372-3198
Mailing address
200 INA MARIE LN, PELZER, SC 29669-9067
(864) 958-5310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
221486
SC
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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