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1164824421
TARA NICHOLE MEREDITH
COLUMBIA, SC
NPI
1164824421
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Former Name
TARA NICHOLE BLACKMON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: SC 18921)
Enumeration Date
2014-09-18
Last Update Date
2023-02-01
Business Address
Mrs. TARA NICHOLE MEREDITH ACNP-C
3 RICHLAND MEDICAL PARK DR STE 510
COLUMBIA, SC 29203-6854
Phone number: 803-296-2726
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Mailing Address
Mrs. TARA NICHOLE MEREDITH ACNP-C
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-522-8603
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