Individual
MS. KATHERINE ANNE TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1014 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7177
(843) 556-5585
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2692
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0990
—
SC
01
—
P00754398
RAILROAD MC ID-RSFPN
SC
Enumeration date
04/24/2007
Last updated
11/11/2024
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