Individual
TANYA NESTVOGEL NAGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
853 N CHURCH ST, SUITE 720C, SPARTANBURG, SC 29303-3098
(864) 560-6419
(864) 560-7498
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1742
SC
363A00000X
Physician Assistant
TL1742
SC
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316PA
—
SC
01
—
P01036277
RR MEDICARE
SC
Enumeration date
11/22/2011
Last updated
11/17/2020
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