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NPI Code Detail

MEDICARE: MISS TAMMY D. MORASKA CRNA

MEDICARE: MISS TAMMY D. MORASKA CRNA
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
1367500000XCertified Registered Nurse Anesthetist115460NC
2367500000XCertified Registered Nurse Anesthetist3350SC

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 : 1154303972
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS TAMMY D. MORASKA CRNA
Provider Business Mailing Address
First Line : PO BOX 1792
Second Line :
City : COLUMBIA
State : SC
Zip : 29202-1792
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 805 PAMPLICO HWY
Second Line :
City : FLORENCE
State : SC
Zip : 29505-6047
Country : US
Telephone Number : 843-674-2542
Fax Number : 843-674-2683
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 10/25/2012

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