Individual
MRS. TAWNY JENNA MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
15545 WELLS HWY, SENECA, SC 29678-1664
(864) 985-5009
Mailing address
15545 WELLS HWY, SENECA, SC 29678-1664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17816
SC
363LF0000X
Family Nurse Practitioner
5006066
NC
Other
Enumeration date
06/28/2012
Last updated
02/17/2021
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