Individual
MR. TARA LYNETTE PAHNKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, APRN
Contact information
Practice address
113B BERRY AVE, GREER, SC 29651-1307
(864) 989-0230
Mailing address
42 AYERSDALE DR, TAYLORS, SC 29687-5500
(864) 313-8472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3128
SC
Other
Enumeration date
05/08/2007
Last updated
07/08/2007
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