Doctor Name: | TAMMY P WARD |
NPI Number: | 1275551301 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P. |
License Number: | APN670 |
Business Practice Address: | 2845 E Highway 76 Suite 4 Mullins, SC - 295746037 |
Business Phone Number: | 8434312720 |
Business Fax Number: | 8434312726 |
Mailing Address: | 2845 E Highway 76, Suite 4 MULLINS |
State: | SC |
Postal Code: | 295746037 |
Phone Number: | 8434312720 |
Fax Number: | 8434312726 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN670 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |