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NPI Code Detail

MEDICARE: MRS. TARA CRAIG ADAMS MCD, CCC-SLP

MEDICARE:  MRS. TARA CRAIG ADAMS  MCD, CCC-SLP
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
1235Z00000XSpeech-Language PathologistSP#2069AR
2235Z00000XSpeech-Language PathologistSLP.4636 SLPSC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871541888
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TARA CRAIG ADAMS MCD, CCC-SLP
Provider Business Mailing Address
First Line : 629 BRANCH VIEW DR
Second Line :
City : BOILING SPRINGS
State : SC
Zip : 29316-4836
Country : US
Telephone Number : 870-674-4061
Fax Number :
Provider Business Practice Location Address
First Line : 355 OAK GROVE RD
Second Line :
City : SPARTANBURG
State : SC
Zip : 29301-2537
Country : US
Telephone Number : 864-595-4225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 04/21/2010

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Directions to “ MRS. TARA CRAIG ADAMS MCD, CCC-SLP” Practice Location

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