Favor, Ta-Tanisha

Favor, Ta-Tanisha is an sole proprietor health care provider with primary practice located at 3000 Saint Matthews Rd , Orangeburg SC 29118-1442. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Favor, Ta-Tanisha can be contacted via phone (803) 395-2200.

Contact Information

Primary practice address
3000 Saint Matthews Rd Orangeburg SC 29118-1442
Phone: (803) 395-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 31670 South Carolina
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 0116018440 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 31670 South Carolina

Profile Details

NPI number 1710148101
LBN Legal business name Favor, Ta-Tanisha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2008
Last updated Oct 27th, 2020 - about 4 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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