Green, Tierra S

Green, Tierra S is an individual health care provider with primary practice located at 2702 W Surrey Dr , North Charleston SC 29405-5513. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Green, Tierra S can be contacted via phone (843) 817-6803.

Contact Information

Primary practice address
2702 W Surrey Dr North Charleston SC 29405-5513
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X 76417 South Carolina

Profile Details

NPI number 1144839101
LBN Legal business name Green, Tierra S
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2020
Last updated Jul 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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