| Ms Tina Marie Howard, FNP | |
|
623 Memorial Ave N, Allendale, SC 29810-2715 | |
| (803) 584-2128 | |
| (803) 584-2125 |
| Full Name | Ms Tina Marie Howard |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 623 Memorial Ave N, Allendale, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922453059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 20145 (South Carolina) | Primary |
| Entity Name | Fetter Health Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003827304 PECOS PAC ID: 9032215199 Enrollment ID: O20070507000192 |
| Entity Name | Lowcountry Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326364100 PECOS PAC ID: 9739210337 Enrollment ID: O20100625000517 |
| Entity Name | Fetter Health Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982124301 PECOS PAC ID: 9032215199 Enrollment ID: O20171228002000 |
| Entity Name | Fetter Health Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518454818 PECOS PAC ID: 9032215199 Enrollment ID: O20190118001672 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tina Marie Howard, FNP 1787 Allendale Fairfax Hwy, Fairfax, SC 29827-9133 Ph: (803) 584-2128 | Ms Tina Marie Howard, FNP 623 Memorial Ave N, Allendale, SC 29810-2715 Ph: (803) 584-2128 |
Nancy Taylor Young, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 623 Memorial Ave N, Allendale, SC 29810 Phone: 803-584-2128 Fax: 803-584-2125 |