Individual
DR. TAREK M BISHARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(843) 664-1314
(843) 664-4340
Mailing address
PO BOX 30309, CHARLESTON, SC 29417-0309
(843) 554-9300
(843) 566-8780
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
23068
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T73239
—
SC
Enumeration date
03/24/2006
Last updated
02/28/2008
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