Woods, Tina Rushing

Woods, Tina Rushing is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-4505. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as her primary health care specialty. Woods, Tina Rushing can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-4505
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X PRV-111-15 Mississippi
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 48 South Carolina

Profile Details

NPI number 1386758829
LBN Legal business name Woods, Tina Rushing
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2006
Last updated Jun 6th, 2022 - about 2 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 1386758829 NPPES
Mississippi MEDICAID 00660205

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