Tatum, Heidi Lynn

Tatum, Heidi Lynn is an individual health care provider with primary practice located at 87 Springview Ln , Summerville SC 29485-9077. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Tatum, Heidi Lynn can be contacted via phone (843) 876-7979.

Contact Information

Primary practice address
87 Springview Ln Summerville SC 29485-9077
Phone: (843) 876-7979
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1101 South Carolina

Profile Details

NPI number 1508811522
LBN Legal business name Tatum, Heidi Lynn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Sep 18th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508811522 NPPES
South Carolina Other P01173877 RR-MEDICARE
South Carolina Other GP1551 RR-MEDICARE
South Carolina MEDICAID 0526PA RR-MEDICARE

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