TARA NICOLE GRESHAM

CHARLESTON, SC
NPI1679601413
Former NameTARA NICOLE BUCKLEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1710I1002X Military Health Care Provider, Independent Duty Corpsman
Additional Taxonomies171000000X Military Health Care Provider
247200000X Technician, Other
146N00000X Emergency Medical Technician, Basic
Enumeration Date2007-03-02
Last Update Date2024-01-20
Business Address
TARA NICOLE GRESHAM HS/SF-IDC
1050 REGISTER ST
CHARLESTON, SC 29405-2421
Phone number: 843-740-3147
Mailing Address
TARA NICOLE GRESHAM HS/SF-IDC
10565 COUNTY ROAD 1
FAIRHOPE, AL 36532-5932
Phone number: 727-593-4453