TAMERA BURTON WILSON (NPI# 1457854564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457854564 |
| Entity Type | Individual |
| Full Name | TAMERA BURTON WILSON |
| Practice Address |
123 Village Vista Dr Fountain Inn SC 29644-1347 |
| Practice Telephone | 3362130975 |
| Mailing Telephone | 3362130975 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881760460 | Tamera Jeanne Wilson | Psychologist | 28700 Bouquet Canyon Rd, Santa Clarita, CA 91390-1220 | 2006-11-27 |
| Street Address |
123 VILLAGE VISTA DR |
| City | FOUNTAIN INN |
| State | SC |
| Zip Code | 29644-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669838991 | Palms Dentistry 225, LLC | Dentist | 208 Harrison Bridge Road, Fountain Inn, SC 29644 | 2015-12-31 |
| 1902155641 | Leah M Mauritz | Pharmacist | 203 N. Main St., Fountain Inn, SC 29644 | 2012-09-07 |
| 1164791778 | Lyfe Intervention Services | Community/Behavioral Health | 401 Putman Street, Fountain Inn, SC 29644 | 2011-12-28 |
| 1629119318 | South Carolina Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 810 Dunklin Bridge Road, Fountain Inn, SC 29644 | 2007-02-08 |
| 1093218992 | Emili Walker Hendrix | Occupational Therapist | 204 Shady Pines Ct, Fountain Inn, SC 29644 | 2018-03-16 |
| 1841331717 | South Carolina Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 810 Dunklin Bridge Road, Fountain Inn, SC 29644 | 2007-02-12 |
| 1912300971 | Grouphab | Clinic/Center | 30 Howard Creek Dr, Fountain Inn, SC 29644-1318 | 2014-10-06 |
| 1235653031 | Fountain Inn Dental, LLC | Dentist | 1125 N Main St, Fountain Inn, SC 29644-1322 | 2017-08-02 |
| 1457950875 | 360 Durable Medical Supplies & Equipment | Durable Medical Equipment & Medical Supplies | 1314 N Main St Ste D, Fountain Inn, SC 29644-1332 | 2020-10-19 |
| 1790210839 | Mukta LLC | Pharmacy | 1103 N Main St Ste E, Fountain Inn, SC 29644-1336 | 2017-04-26 |
| Find all providers in zip 29644 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212583 | Morcia K Bradley | Specialist | 6800 Shakespeare Rd Ste D, Columbia, SC 29223-7512 | 2020-10-16 |
| 1144839101 | Tierra S Green | Specialist | 2702 W Surrey Dr, North Charleston, SC 29405-5513 | 2020-07-27 |
| 1306464532 | Joanna Allen-gibbs II | Specialist | 6340 Nakia Dr, Rembert, SC 29128-8820 | 2020-07-14 |
| 1316563877 | Stephanie D. Hamilton | Specialist | 37 Willis St S, Yemassee, SC 29945-2420 | 2020-06-21 |
| 1851927750 | Sharika D Harley | Specialist | 1572 Sam Rittenberg Blvd, Charleston, SC 29407-4105 | 2020-03-23 |
| 1629618251 | Keatley Miller | Specialist | 800 John B White Blvd, Spartanburg, SC 29306-4043 | 2020-01-12 |
| 1821636184 | Arkeem Green | Specialist | 215 Pine Shadow Dr, Goose Creek, SC 29445-4662 | 2019-12-18 |
| 1942848643 | Tamara Lynette Waters | Specialist | 10050 Two Notch Rd Ste 7, Columbia, SC 29223-4302 | 2019-12-13 |
| 1871130690 | Tonya Haynes Brown | Specialist | 1224 Broad River Rd, Columbia, SC 29210-7619 | 2019-12-01 |
| 1043855976 | Changes Styling Salon | Specialist | 1256 W Main St, Dillon, SC 29536-7926 | 2019-11-14 |
| Find all providers with the same taxonomy | ||||
| City | FOUNTAIN INN |
| Zip Code | 29644 |
Please comment or provide details below to improve the information on TAMERA BURTON WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.