Individual
MS. TAMMY LAWLER IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1375 HOSPITAL DR, MT PLEASANT, SC 29464-3254
(843) 883-5800
Mailing address
1728 W CANNING DR, MT PLEASANT, SC 29466-9311
(843) 906-3276
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
OR 96158.
SC
Other
Enumeration date
03/03/2007
Last updated
10/02/2013
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