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Individual

MRS. TARA EADDY BARRINEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
115 N SUMTER ST STE 300, SUMTER, SC 29150-4967
(803) 775-1550
(803) 775-7258
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3184
SC
363AS0400X
Surgical Physician Assistant
Primary
3184
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3216PA
SC
01
SCF316
MEDICARE
SC
Enumeration date
03/19/2019
Last updated
12/09/2025
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