Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 85847 | SC |
NPI | 1427443357 |
---|---|
Provider Name | Dr. Anita Tambay Perez |
First Address | Charlotte, NC 28275-1461 |
Second Address | Charleston, SC 29425-3816 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2015 |
Last Update Date | 17/09/2021 |