Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | N9783 | TX |
N | 207VE0102X | Reproductive Endocrinologist | N9783 | TX |
NPI | 1184820920 |
---|---|
Provider Name | Dr. Edward Davis Tarnawa |
First Address | Greenville, SC 29615 |
Second Address | West Columbia, SC 29169 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2007 |
Last Update Date | 16/01/2018 |