Tezza, Sybil

Tezza, Sybil is an individual health care provider with primary practice located at 1 Havenwood Ln , Travelers Rest SC 29690-9447. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Tezza, Sybil can be contacted via phone (864) 834-8013.

Contact Information

Primary practice address
1 Havenwood Ln Travelers Rest SC 29690-9447
Phone: (864) 834-8013
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 21084 South Carolina

Profile Details

NPI number 1750801791
LBN Legal business name Tezza, Sybil
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2017
Last updated Feb 5th, 2020 - about 6 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1750801791 NPPES
South Carolina Other SCC5036067 MEDICARE PIN
South Carolina Other SCC5036084 MEDICARE PIN
South Carolina Other SCC503J577 MEDICARE PIN
South Carolina MEDICAID NP5526 MEDICARE PIN

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