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Contact Information

TAMARA T BANTOM
1101 CORTLAND RD
GREENVILLE, NC27834-6358
 Phone: 252-327-3539
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for TAMARA T BANTOM · (Female)

NPI # 1215896188
Status Active
Credentials
Entity Individual
Enumeration date 01/16/2026
Last updated 01/17/2026 - About 5 months ago
Sole proprietor 1 No
Identifiers Not Available
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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