Individual
TAMMY MICHELLE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
721 WAPPOO RD, CHARLESTON, SC 29407-5861
(843) 402-7850
(843) 402-7851
Mailing address
721 WAPPOO RD, CHARLESTON, SC 29407-5861
(843) 402-7850
(843) 402-7851
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
28428
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861678534
—
SC
Enumeration date
09/06/2022
Last updated
09/06/2022
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