Tammy T. Tully Od Pa

NPI 1053356154 - Optometrist - 152W00000X

NPI Details
NPI 1053356154
Enumeration Date 06/20/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TAMMY T TAMMY
Position PRESIDENT
Phone (843) 520-0576
Fax (843) 520-4398
Practice Location
1310 N FRASER ST
GEORGETOWN SC, 29440-2800, US
Phone (843) 520-0576
Fax (843) 520-4398
Business Location
PO BOX 50997
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, Tammy T. Tully Od Pa NPI is 1053356154, taxonomy code is 152W00000X and license number is 1061, license state is located at South Carolina. Tammy T. Tully Od Pa physically located at 1310 N Fraser St, Georgetown SC, 29440-2800. NPI Number 1033115704 has the healthcare provider type.

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1053356154 NPI number is provided on an as is basis without warranty of any kind. 1053356154 is maintained by the National Plan & Provider Enumeration System. The contents of Tammy T. Tully Od Pa are for informational purposes only.