Bennett, Tammy

Bennett, Tammy is an individual health care provider with primary practice located at 1757 Woodruff Rd , Greenville SC 29607-6943. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bennett, Tammy can be contacted via phone (864) 458-9288.

Contact Information

Primary practice address
1757 Woodruff Rd Greenville SC 29607-6943
Phone: (864) 458-9288
Fax: (864) 458-9289
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3073 South Carolina

Profile Details

NPI number 1013090786
LBN Legal business name Bennett, Tammy
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Feb 16th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013090786 NPPES
South Carolina MEDICAID NP1077

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