MEDICARE: TAMMY L BARGER RN

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	163WD0400X	Diabetes Educator Registered Nurse	227175	SC

General Provider Information

NPI Number	:	1346193752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY L BARGER RN

Provider Business Mailing Address
First Line	:	1 HINDMAN RD
Second Line	:
City	:	TRAVELERS REST
State	:	SC
Zip	:	29690-9576
Country	:	US
Telephone Number	:	864-455-4003
Fax Number	:

Provider Business Practice Location Address
First Line	:	875 W FARIS RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29605-4254
Country	:	US
Telephone Number	:	864-455-4003
Fax Number	:

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

Provider Enumeration Date	:	02/16/2026
Last Update Date	:	02/16/2026

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