Tara Nicole Gresham in North Charleston - Military Health Care Provider
Tara Nicole Gresham - NPI 1679601413
Tara Nicole Gresham is a Military Health Care Provider in North Charleston, South Carolina. Tara Nicole Gresham practices all healthcare services and medical treatments related to Military Health Care Provider. The NPI Number for Tara Nicole Gresham is 1679601413. The last update date is 2014-12-01.
Tara Nicole Gresham's current location address is 2000 Bainbridge Road, North Charleston, South Carolina. You can contact this provider via phone number 8437403147. The mailing address for Tara Nicole Gresham is 2000 Bainbridge Road, North Charleston, South Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Tara Nicole Gresham |
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Address | 2000 Bainbridge Road, North Charleston, South Carolina |
Phone Number | 8437403147 |
Fax Number | |
Sole Proprietor | N |
Credentials | HS/SF-IDC |
NPI Number Detail
NPI Number | 1679601413 |
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Provider Enumeration Date | 2007-03-02 |
Last Updated Date | 2014-12-01 |
Provider Mailing Address Detail
Address | 2000 Bainbridge Road |
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City | North Charleston |
State | South Carolina (SC) |
Post Code | 294052607 |
Phone Number | 8437403147 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Military Health Care Provider |
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Taxonomy | 171000000X |
Definition: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
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What is the unique identifier code issued to Tara Nicole Gresham by the Centers for Medicare & Medicaid Services (CMS)?
The Tara Nicole Gresham has been assigned the NPI (National Provider Identifier) 1679601413. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Tara Nicole Gresham?
The Tara Nicole Gresham is physically situated at 2000 Bainbridge Road, in the city of North Charleston, state of SC, with the postal code 294052607.
What is Tara Nicole Gresham's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Tara Nicole Gresham is Military Health Care Provider, and the taxonomy code that categorizes this field of expertise is 171000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1679601413 to Tara Nicole Gresham?
The Tara Nicole Gresham received its 1679601413 assignment from the Centers for Medicare & Medicaid Services on 2007-03-02.
When was the Tara Nicole Gresham's information last updated?
The Tara Nicole Gresham's information was last updated on 2014-12-01.
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