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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MARY V TATUM, DMD
92 COURTENAY DR
CHARLESTON, SC29403-5742
 Phone: 843-577-6112
 Fax: 843-937-0200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for MARY V TATUM · (Female)

NPI # 1003033192
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 04/19/2007
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 3084
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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