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NPI Code Detail

MEDICARE: SARAH TANBERG

MEDICARE: SARAH TANBERG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0200XCritical Care Medicine Registered Nurse269152SC

General Provider Information

NPI Number : 1720915200
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH TANBERG
Provider Business Mailing Address
First Line : 2506 EDGEWOOD AVE
Second Line :
City : ANDERSON
State : SC
Zip : 29625-2437
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 N FANT ST
Second Line :
City : ANDERSON
State : SC
Zip : 29621-5708
Country : US
Telephone Number : 864-512-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/07/2026
Last Update Date : 05/07/2026

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Directions to “ SARAH TANBERG ” Practice Location

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