Wright, Tabitha A
Wright, Tabitha A is an individual health care provider with primary practice located at 106 Springview Ln , Summerville SC 29485-8108. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Wright, Tabitha A can be contacted via phone (843) 873-5063.Contact Information
Primary practice address
106 Springview Ln
Summerville SC 29485-8108
Phone: (843) 873-5063
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPCI-4745 | South Carolina |
Profile Details
| NPI number | 1558481465 |
|---|---|
| LBN Legal business name | Wright, Tabitha A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1558481465 | NPPES |
| South Carolina | MEDICAID | 190166 |
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