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1205873437
TAMARA I FATIANOV
GREENVILLE, SC
NPI
1205873437
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: SC 23132)
Enumeration Date
2006-05-31
Last Update Date
2010-04-27
Business Address
-- TAMARA I FATIANOV M.D.
877 W FARIS RD SUITE D
GREENVILLE, SC 29605-4254
Phone number: 864-455-8001
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Mailing Address
-- TAMARA I FATIANOV M.D.
7 INDEPENDENCE PT SUITE 140
GREENVILLE, SC 29615-4566
Phone number: 864-797-6044
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