Individual
SAMANTHA ELOISE DREW-TACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4310 HARD SCRABBLE RD, COLUMBIA, SC 29229-9423
(803) 865-6682
Mailing address
4310 HARD SCRABBLE RD, COLUMBIA, SC 29229-9423
(803) 865-6682
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23428
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467097352
—
SC
Enumeration date
11/14/2019
Last updated
09/15/2025
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