Individual
TA-TANISHA FAVOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3000 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-1442
(803) 395-2200
Mailing address
PO BOX 1245, ORANGEBURG, SC 29116-1245
(803) 395-4497
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31670
SC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
31670
SC
390200000X
Student in an Organized Health Care Education/Training Program
0116018440
VA
Other
Enumeration date
06/19/2008
Last updated
10/27/2020
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