Individual
TASHA LEE RALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
101 S RAVENEL ST STE 270, FLORENCE, SC 29506-2624
(843) 777-7020
(843) 664-9545
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7401
(843) 777-7476
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
21690
SC
Other
Enumeration date
04/11/2018
Last updated
02/15/2021
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