Individual
TASHARA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 OLD OAK DR, GREENWOOD, SC 29649-1331
(864) 971-2035
Mailing address
107 OLD OAK DR, GREENWOOD, SC 29649-1331
(864) 971-2035
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
100377490
SC
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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