Individual
TAMARA D AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
406 N POINSETT HWY, TRAVELERS REST, SC 29690
(864) 834-4151
(864) 834-6145
Mailing address
PO BOX 25039, GREENVILLE, SC 29616-0039
(864) 834-4151
(864) 834-6145
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1607
SC
363A00000X
Physician Assistant
Primary
PA.1344
AL
363A00000X
Physician Assistant
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1607
LICENSE NUMBER
SC
Enumeration date
03/31/2011
Last updated
05/17/2023
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