Tabor, Marcella Ann
Tabor, Marcella Ann is an individual health care provider with primary practice located at 1213 Remount Rd , North Charleston SC 29406-3433. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Tabor, Marcella Ann can be contacted via phone (407) 447-7120.Contact Information
Primary practice address
1213 Remount Rd
North Charleston SC 29406-3433
Phone: (407) 447-7120
Fax: (833) 994-1101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 368 | South Carolina |
Profile Details
| NPI number | 1184681579 |
|---|---|
| LBN Legal business name | Tabor, Marcella Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Dec 14th, 2021 - about 3 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 | 1184681579 | NPPES |
| South Carolina | Other | 080107585 | RR MEDICARE |
| South Carolina | Other | SC2318I818 | RR MEDICARE |
| South Carolina | MEDICAID | T00656 | RR MEDICARE |
| South Carolina | Other | GP1551 | RR MEDICARE |
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