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Search › South Carolina › 363A00000X

Tania Vanderbilt, PHYSICIAN ASSISTANT

NPI 1265823876 · on the registry since 2015 · sole proprietor

Practice

Address
525 Verdae Blvd Ste 200
Greenville, SC 29607
Phone
(864) 272-0388
Fax
(864) 213-9273
Organisation at this address
Tribe513, P.A.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
43

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-10

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