Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Tania C Vanderbilt, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1265823876

Mrs. Tania C Vanderbilt, PHYSICIANASSISTANT is a Physician Assistant in Greenville, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2015

Practice location Address checks out

525 Verdae Blvd Ste 200
Greenville, SC 29607-4021
Phone: (864) 272-0388
Fax: (864) 213-9273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2193 (SC)

Record details

NPI number1265823876
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedFebruary 18, 2015
Last updated in NPPESMarch 10, 2020
Certification dateMarch 10, 2020

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