Medlin, Tammy L
Medlin, Tammy L is an individual health care provider with primary practice located at 75 Baylor Dr Ste 155 , Bluffton SC 29910-8965. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Medlin, Tammy L can be contacted via phone (843) 706-2523.Contact Information
Primary practice address
75 Baylor Dr Ste 155
Bluffton SC 29910-8965
Phone: (843) 706-2523
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN112985 | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN112985NP | Georgia |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 20432 | South Carolina |
Profile Details
| NPI number | 1346371663 |
|---|---|
| LBN Legal business name | Medlin, Tammy L |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Apr 4th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346371663 | NPPES |
| Georgia | Other | 112985 | NP LICENSE |
| Georgia | Other | 511I500096 | NP LICENSE |
| Georgia | MEDICAID | 106275669B | NP LICENSE |
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