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

Tammy Prockiw, PA

Individual provider Physician Assistant · NPI 1295554459

Tammy Prockiw, PA is a Physician Assistant in Mt Pleasant, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1031 Chuck Dawley Blvd Ste 3
Mt Pleasant, SC 29464-4188
Phone: (843) 425-6526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4165 (SC)

Record details

NPI number1295554459
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 5, 2024
Last updated in NPPESOctober 5, 2024
Certification dateOctober 5, 2024

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