Watts, Tammy G

Watts, Tammy G is an individual health care provider with primary practice located at 3710 Landmark Dr Ste 114, Columbia SC 29204-4034. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Watts, Tammy G can be contacted via phone (803) 788-5916.

Contact Information

Primary practice address
3710 Landmark Dr Ste 114 Columbia SC 29204-4034
Phone: (803) 788-5916
Fax: (803) 788-9564
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 455 South Carolina

Profile Details

NPI number 1992745905
LBN Legal business name Watts, Tammy G
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 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 1992745905 NPPES
South Carolina MEDICAID NP0642

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