| Doctor Name: | MS. TAMMY WYNETTE PLEMONS |
| NPI Number: | 1134505647 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 19641 |
| Business Practice Address: | 10 E Hospital St Manning, SC - 291023153 |
| Business Phone Number: | 8034333000 |
| Business Fax Number: | |
| Mailing Address: | 3470 Green View Pkwy, SUMTER |
| State: | SC |
| Postal Code: | 291507016 |
| Phone Number: | 8039685656 |
| Fax Number: | |
| NPI Enumeration Date: | 08/06/2015 |
| NPI Last Update Date: | 08/06/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 19641 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |