Tammy T Tully O.D.

NPI 1043261084 - Optometrist - 152W00000X

NPI Details
NPI 1043261084
Gender Female
Enumeration Date 05/15/2006
Last Updated 08/01/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
109 FINNEGAN CT
MYRTLE BEACH SC, 29579-4205, US
Phone (843) 903-0949
Fax (843) 903-1101
Business Location
PO BOX 50997
4606 MOONBEAM CT
MYRTLE BEACH SC, 29579-0017, US
Phone (843) 520-0576
Fax (843) 520-4398
Toxanomy
Taxonomy Code 152W00000X
License State South Carolina
License Number 1061
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According to our database, Dr. Tammy T Tully O.D. NPI is 1043261084, taxonomy code is 152W00000X and license number is 1061, license state is located at South Carolina. Tammy T Tully O.D. physically located at 109 Finnegan Ct, Myrtle Beach SC, 29579-4205. NPI Number Tammy T Tully O.D. has the Individual type.

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1043261084 NPI number is provided on an as is basis without warranty of any kind. 1043261084 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy T Tully O.D. are for informational purposes only.