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Individual

TAM WEATHERLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
711 S PARSONAGE ST, BENNETTSVILLE, SC 29512-4423
(843) 479-6801
(843) 479-9658
Mailing address
711 S PARSONAGE ST, BENNETTSVILLE, SC 29512-4423
(843) 479-6801
(843) 479-9658

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
36220
SC

Other

Enumeration date
03/17/2014
Last updated
03/17/2014
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