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Individual

MS. TINA MARIE HOWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
623 MEMORIAL AVE N, ALLENDALE, SC 29810-2715
(803) 584-2128
(803) 584-2125
Mailing address
1787 ALLENDALE FAIRFAX HWY, FAIRFAX, SC 29827-9133
(803) 584-2128
(803) 584-2125

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20145
SC

Other

Enumeration date
04/26/2016
Last updated
04/26/2016
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