Individual
TESSA DANIEL FACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
102 W 8TH NORTH ST STE B, SUMMERVILLE, SC 29483-6656
(912) 237-1688
Mailing address
1030 STRIPED LN, JOHNS ISLAND, SC 29455-9018
(912) 237-1688
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24885
SC
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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