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1912289950
TIARE RENA SCATES
SHALLOTTE, NC
NPI
1912289950
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5005312)
Enumeration Date
2011-09-15
Last Update Date
2021-06-21
Business Address
TIARE RENA SCATES FNP
5160 OCEAN HWY W
SHALLOTTE, NC 28470-4012
Phone number: 910-332-3800
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Mailing Address
TIARE RENA SCATES FNP
5160 OCEAN HWY W
SHALLOTTE, NC 28470-4012
Phone number: 910-332-3800
Copy
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