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1447008222
TARA HARRISON AYCOCK
LITTLE RIVER, SC
NPI
1447008222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC 28560)
Enumeration Date
2024-05-08
Last Update Date
2024-05-08
Business Address
TARA HARRISON AYCOCK DNP
4303 LIVE OAK DR
LITTLE RIVER, SC 29566-9138
Phone number: 843-663-8000
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Mailing Address
TARA HARRISON AYCOCK DNP
PO BOX 547
LITTLE RIVER, SC 29566-0547
Phone number: 843-663-8294
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