Individual
MRS. TANGIE TAMECO STODDARD-CHOICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
301 PINEHAVEN STREET EXT, LAURENS, SC 29360-2671
(864) 984-6584
(864) 984-6464
Mailing address
113 LAWNFIELD ST, MAULDIN, SC 29662-2607
(864) 297-5009
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
326
SC
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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