TANIA C VANDERBILT

GREENVILLE, SC
NPI1265823876
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  2193)
Enumeration Date2015-02-18
Last Update Date2020-03-10
Business Address
MRS. TANIA C VANDERBILT PHYSICIAN ASSISTANT
525 VERDAE BLVD STE 200
GREENVILLE, SC 29607-4021
Phone number: 864-272-0388
Mailing Address
MRS. TANIA C VANDERBILT PHYSICIAN ASSISTANT
39 DEER TRACK RD
SIMPSONVILLE, SC 29681-4764
Phone number: 803-467-1446
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