Tamara Willard
NPI #1215462742 in Myrtle Beach, South Carolina
Provider Information
- NPI Number
- 1215462742
- Entity Type
- Organization
- Organization Name
- Tamara Willard
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Apr 21, 2017
- Last Updated
- Apr 21, 2017
Practice Location
- Address
- 4221 MAYFAIR ST
- City
- Myrtle Beach
- State
- South Carolina
- ZIP Code
- 29577-5757
- Phone
- (843) 360-9491
Authorized Official
- Name
- TAMARA WILLARD
- Title
- OWNER
- Phone
- (843) 360-9491
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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