Gresham, Tara Nicole

Gresham, Tara Nicole is an individual health care provider with primary practice located at 1050 Register St , Charleston SC 29405-2421. She recently has 4 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Technologists, Technicians & Other Technical Service Providers / Technician, Other, Other Service Providers / Independent Duty Corpsman, Emergency Medical Service Providers / Emergency Medical Technician, Basic. Other Service Providers / Independent Duty Corpsman is her primary health care specialty. Gresham, Tara Nicole can be contacted via phone (843) 740-3147.

Contact Information

Primary practice address
1050 Register St Charleston SC 29405-2421
Phone: (843) 740-3147
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Other Service Providers / Independent Duty Corpsman 1710I1002X
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X

Profile Details

NPI number 1679601413
LBN Legal business name Gresham, Tara Nicole
Credentials HS/SF-IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2007
Last updated Jan 20th, 2024 - about 10 months 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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