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Individual

JOEY MARIE TAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
389 SERPENTINE DR, SPARTANBURG, SC 29303-3026
(864) 560-3263
Mailing address
389 SERPENTINE DR, SPARTANBURG, SC 29303-3026

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
247154
SC
163WC1500X
Community Health Registered Nurse
247154
SC

Other

Enumeration date
06/02/2020
Last updated
08/28/2021
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