TAMMY LYNN BLACK

GREENVILLE, SC
NPI1326700642
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SC  30002)
Additional Taxonomies163W00000X Registered Nurse
(Licence: SC  80211)
Enumeration Date2021-10-13
Last Update Date2025-02-21
Business Address
TAMMY LYNN BLACK NP
200 BUIST AVE
GREENVILLE, SC 29609-4603
Phone number: 864-266-3364
Mailing Address
TAMMY LYNN BLACK NP
200 BUIST AVE
GREENVILLE, SC 29609-4603
Phone number: 864-266-3364