HEIDI LYNN TATUM

SUMMERVILLE, SC
NPI1508811522
Former NameHEIDI L BRUGGEMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  1101)
Enumeration Date2006-05-24
Last Update Date2018-09-18
Business Address
HEIDI LYNN TATUM PA-C
87 SPRINGVIEW LN
SUMMERVILLE, SC 29485-9077
Phone number: 843-876-7979
Mailing Address
HEIDI LYNN TATUM PA-C
PO BOX 602108
CHARLOTTE, NC 28260-2108
Phone number: 843-792-6200
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