Healthcare Provider Details

I. General information

NPI: 1972499440
Provider Name (Legal Business Name): TAMERA SHARNAI HURLSTONE DVM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DR. TAMERA SHARNAI THOMPSON

II. Dates (important events)

Enumeration Date: 06/13/2025
Last Update Date: 06/13/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 CHURCH ST
MYRTLE BEACH SC
29577-5819
US

IV. Provider business mailing address

3000 CHURCH ST
MYRTLE BEACH SC
29577-5819
US

V. Phone/Fax

Practice location:
  • Phone: 702-510-1512
  • Fax:
Mailing address:
  • Phone: 702-510-1512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License NumberVM16519
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: