Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 21945 | SC |
NPI | 1134606221 |
---|---|
Provider Name | Tonya Marshall |
First Address | Florence, SC 29505-5129 |
Second Address | Florence, SC 29506-2617 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2018 |
Last Update Date | 23/07/2018 |