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Tara Graddick

NPI 1184215998 · on the registry since 2021

Practice

Address
126 Perry Ln
Central, SC 29630
Phone
(864) 508-4597
Organisation at this address
Mobile Collective
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
246RP1900X
246RP1900X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina