Aycock, Tara Harrison

Aycock, Tara Harrison is an individual health care provider with primary practice located at 4303 Live Oak Dr , Little River SC 29566-9138. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Aycock, Tara Harrison can be contacted via phone (843) 663-8000.

Contact Information

Primary practice address
4303 Live Oak Dr Little River SC 29566-9138
Phone: (843) 663-8000
Fax: (843) 663-8166
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 28560 South Carolina

Profile Details

NPI number 1447008222
LBN Legal business name Aycock, Tara Harrison
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2024
Last updated May 8th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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