Tammy T. Tully Od PA

NPI #1053356154 in Georgetown, South Carolina

Provider Information

NPI Number: 1053356154
Entity Type: Organization
Organization Name: Tammy T. Tully Od PA
Primary Specialty: Optometrist
Enumeration Date: Jun 20, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1310 N FRASER ST
City: Georgetown
State: South Carolina
ZIP Code: 29440-2800
Phone: (843) 520-0576

Authorized Official

Name: TAMMY T TULLY, OD
Title: PRESIDENT
Phone: (843) 520-0576

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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