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Individual

TAMARA GERALDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3655 MITCHELL ST, LORIS, SC 29569-2827
(843) 716-7000
Mailing address
3655 MITCHELL ST, LORIS, SC 29569-2827

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
267659
SC

Other

Enumeration date
09/13/2023
Last updated
09/13/2023
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