Dr. Mary Victoria Tatum
Dentist - General Practice
92 Courtenay Dr
Charleston
, South Carolina 29403-5742
Dr. Mary Victoria Tatum
Dentist - General Practice
92 Courtenay Dr
Charleston
, South Carolina 29403-5742
(843) 937-0200
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About
Features
Specialties
- General Practice
Languages spoken
- English
Location
First Address
- Dr. Mary Victoria Tatum
- 92 Courtenay Dr
- Charleston, SC
- Zip : 29403-5742
- Fax : (843) 937-0200
- Phone : (843) 577-6112
Second Address
- Dr. Mary Victoria Tatum
- 92 Courtenay Dr
- Charleston, SC
- Zip : 29403-5742
- Fax : (843) 937-0200
- Phone : (843) 577-6112
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223G0001X | General Practice | 3084 | SC |
| Y | 213EG0000X | General Practice | 3084 | SC |
National Provider Identifier
| NPI | 1003033192 |
|---|---|
| Provider Name | Dr. Mary Victoria Tatum |
| First Address | Charleston, SC 29403-5742 |
| Second Address | Charleston, SC 29403-5742 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.