Healthcare Provider Details

I. General information

NPI: 1073133476
Provider Name (Legal Business Name): LAUREN GABRIEL TAPP MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN ELIZABETH GABRIEL

II. Dates (important events)

Enumeration Date: 04/26/2020
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2095 HENRY TECKLENBURG DR
CHARLESTON SC
29414-5733
US

IV. Provider business mailing address

PO BOX 751874
CHARLOTTE NC
28275-1874
US

V. Phone/Fax

Practice location:
  • Phone: 843-402-1634
  • Fax: 843-402-1550
Mailing address:
  • Phone: 843-402-5200
  • Fax: 843-402-5296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number91858
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number91858
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: