Tanya C Bralley in Myrtle Beach - Medical

Tanya C Bralley - NPI 1073667234

Tanya C Bralley is a Medical in Myrtle Beach, South Carolina. Tanya C Bralley practices all healthcare services and medical treatments related to Medical. The NPI Number for Tanya C Bralley is 1073667234. The last update date is 2014-12-17.

Tanya C Bralley's current location address is 8121 Rourk St, Myrtle Beach, South Carolina. You can contact this provider via phone number 8436925000 and fax number 8436925010. The mailing address for Tanya C Bralley is 8121 Rourk St, Myrtle Beach, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Tanya C Bralley
Address 8121 Rourk St, Myrtle Beach, South Carolina
Phone Number 8436925000
Fax Number 8436925010
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1073667234
Provider Enumeration Date 2007-01-23
Last Updated Date 2014-12-17

Provider Mailing Address Detail

Address 8121 Rourk St
City Myrtle Beach
State South Carolina (SC)
Post Code 295724128
Phone Number 8436925000
Fax Number 8436925010

Provider's Primary Taxonomy Detail

Speciality Medical
Taxonomy 363Am0700X
Licence No 1792
Definition:
A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment.

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FAQs about Tanya C Bralley

What is the unique identifier code issued to Tanya C Bralley by the Centers for Medicare & Medicaid Services (CMS)?

The Tanya C Bralley has been assigned the NPI (National Provider Identifier) 1073667234. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Tanya C Bralley?

The Tanya C Bralley is situated at 8121 Rourk St, in the city of Myrtle Beach, state of SC, with the zip code 295724128.

What is Tanya C Bralley's area of expertise and its corresponding taxonomy classification?

The Tanya C Bralley's field of specialization is Medical, and it falls under the taxonomy code 363Am0700X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1073667234 to Tanya C Bralley?

The Centers for Medicare & Medicaid Services assigned the 1073667234 to Tanya C Bralley on 2007-01-23.

As of what date was the information pertaining to Tanya C Bralley, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Tanya C Bralley, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-12-17.

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