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Individual

MS. TONIA PATRICE TASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
4711 FOREST DR STE 3, COLUMBIA, SC 29206-3125
(803) 821-8333
(864) 751-5834
Mailing address
4711 FOREST DR STE 3, COLUMBIA, SC 29206-3125
(803) 821-8333
(864) 751-5834

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PR37593
SC
363LF0000X
Family Nurse Practitioner
Primary
25008
SC

Other

Enumeration date
09/16/2013
Last updated
07/19/2021
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