Salley, Shatarra Tavonia

Salley, Shatarra Tavonia is an individual health care provider with primary practice located at 2400 Boiling Springs Rd , Boiling Springs SC 29316-5304. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Salley, Shatarra Tavonia can be contacted via phone (864) 599-0731.

Contact Information

Primary practice address
2400 Boiling Springs Rd Boiling Springs SC 29316-5304
Phone: (864) 599-0731
Fax: (864) 599-0791
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 24906 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 24906 South Carolina

Profile Details

NPI number 1639795859
LBN Legal business name Salley, Shatarra Tavonia
Credentials APRN, FNP-C, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2020
Last updated Feb 7th, 2024 - about 9 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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