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Contact Information

TAMMY BENNETT, NURSE PRACTITIONER
65 INTERNATIONAL DR
GREENVILLE, SC29615-4816
 Phone: 864-987-7000
 Fax: 864-987-7020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TAMMY BENNETT · (Female)

NPI Number 1013090786
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 10/24/2006
Last updated 02/16/2016 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 3073
  • SC Medicaid NP1077
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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