Tedder, Marcus Markette
Tedder, Marcus Markette is an individual health care provider with primary practice located at 1005 E Cheves St Ste 100 , Florence SC 29506-2707. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is his primary health care specialty. Tedder, Marcus Markette can be contacted via phone (843) 777-7900.Contact Information
Primary practice address
1005 E Cheves St Ste 100
Florence SC 29506-2707
Phone: (843) 777-7900
Fax: (843) 777-7925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 24230 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 24230 | South Carolina |
Profile Details
| NPI number | 1407467038 |
|---|---|
| LBN Legal business name | Tedder, Marcus Markette |
| Credentials | APRN-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 17th, 2020 |
| Last updated | Jun 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407467038 | NPPES |
| South Carolina | MEDICAID | NP7151 |
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