Tayvionna Etheredge
Tayvionna Etheredge is a Physical Medicine & Rehabilitation Physician in West Columbia, South Carolina. Licensed in South Carolina. Registered with an NPI since 2023.
- Licensed in
- SC
- In the registry since
- 2023
Practice location Address checks out
100 Dreher Rd Ste 100West Columbia, SC 29169
Phone: (803) 525-7080
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Specialties & licences
| Physical Medicine & Rehabilitation Physician (primary) | Taxonomy 208100000X · Licence PTA.5096 (SC) |
|---|
Record details
| NPI number | 1316633753 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 17, 2023 |
| Last updated in NPPES | April 17, 2023 |
| Certification date | April 13, 2023 |
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-
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Maeghan Edge, PTA
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