MEDICARE: MS. KATHERINE ANNE TABOR NP

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
1	363LF0000X	Family Nurse Practitioner	2692	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	P00754398	OTHER	SC	RAILROAD MC ID-RSFPN

General Provider Information

NPI Number	:	1851510655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHERINE ANNE TABOR NP

Provider Business Mailing Address
First Line	:	PO BOX 749306
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-9306
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1014 SAINT ANDREWS BLVD
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-7177
Country	:	US
Telephone Number	:	843-556-5585
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	11/11/2024

Similar Medicare Providers

1710842935 — CAILIN DORSEY
Practice Location Address:

1014 SAINT ANDREWS BLVD
CHARLESTON, SC
29407-7177

Practice Phone: 843-985-0914
Practice Fax:

1023426921 — CARITA KIELY PENNO PA-C
Practice Location Address:

1014 SAINT ANDREWS BLVD
CHARLESTON, SC
29407-7177

Practice Phone: 843-556-5585
Practice Fax: 843-556-5587

1346821766 — PAIN INSTITUTE OF CHARLESTON, LLC
Practice Location Address:

1014 SAINT ANDREWS BLVD STE 210A
CHARLESTON, SC
29407-7177

Practice Phone: 843-805-2628
Practice Fax:

1245057066 — DR. LILLIAN ELMORE
Practice Location Address:

1014 SAINT ANDREWS BLVD
CHARLESTON, SC
29407-7177

Practice Phone: 843-985-6878
Practice Fax:

1356131452 — GABRIELLE NICOLE BOSAK PT, DPT
Practice Location Address:

1014 SAINT ANDREWS BLVD STE 101
CHARLESTON, SC
29407-7177

Practice Phone: 843-985-0914
Practice Fax:

1477417236 — ASHLEY REMENSNYDER
Practice Location Address:

1563 SAM RITTENBERG BLVD
CHARLESTON, SC
29407-4248

Practice Phone: 843-277-2411
Practice Fax:

Directions to “ MS. KATHERINE ANNE TABOR NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.