Individual
TANIEKA GAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
287 HIGHWAY 90 E STE 7, LITTLE RIVER, SC 29566-7214
(843) 497-4319
(843) 249-4777
Mailing address
287 HIGHWAY 90 E STE 7, SUITE 7, LITTLE RIVER, SC 29566-7214
(843) 497-4319
(843) 249-4777
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
47-3209201
SC
Other
Enumeration date
03/02/2015
Last updated
03/15/2015
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