Individual
TAMARA RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
260 FAIRWINDS RD, LANDRUM, SC 29356-9075
(864) 473-7058
Mailing address
260 FAIRWINDS RD, LANDRUM, SC 29356-9075
(864) 473-7058
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
25144
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7641
—
SC
01
—
SCK4925206
MEDICARE PIN
SC
Enumeration date
06/29/2021
Last updated
06/28/2023
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