TARA NICOLETTE

SPARTANBURG, SC
NPI1942568795
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207RI0200X Internal Medicine, Infectious Disease
(Licence: NH  22008)
Additional Taxonomies207RI0200X Internal Medicine, Infectious Disease
(Licence: IN  02005888A)
207RI0200X Internal Medicine, Infectious Disease
(Licence: SC  36193)
207RI0200X Internal Medicine, Infectious Disease
(Licence: NM  DO2022-0140)
207R00000X Internal Medicine
(Licence: VA  0116023970)
Enumeration Date2012-04-30
Last Update Date2024-10-08
Business Address
TARA NICOLETTE DO
101 E WOOD ST
SPARTANBURG, SC 29303-3040
Phone number: 864-560-6806
Mailing Address
TARA NICOLETTE DO
PO BOX 743070
ATLANTA, GA 30374-3070
Phone number: 864-560-4304