Individual
NATALYA I TARASEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1210 W FARIS RD, GREENVILLE, SC 29605-4444
(864) 797-6328
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6303
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2375
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2273PA
—
SC
Enumeration date
05/01/2009
Last updated
01/25/2018
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