Individual
TARZARIS MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1101 JOHNSON AVE, MYRTLE BEACH, SC 29577-1893
(843) 477-0177
Mailing address
1101 JOHNSON AVE, MYRTLE BEACH, SC 29577-1893
(843) 477-0177
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
SC
104100000X
Social Worker
—
—
Other
Enumeration date
12/27/2019
Last updated
08/11/2020
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