Tayvionna Etheredge
NPI #1316633753 in West Columbia, South Carolina
Provider Information
- NPI Number
- 1316633753
- Entity Type
- Individual
- Name
- Tayvionna Etheredge
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- Apr 17, 2023
- Last Updated
- Apr 17, 2023
Practice Location
- Address
- 100 DREHER ROAD
- Address 2
- SUITE 100
- City
- West Columbia
- State
- South Carolina
- ZIP Code
- 29169
- Phone
- (803) 525-7080
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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