NPI 1316633753

Tayvionna Etheredge

Practitioner Physical Medicine & Rehabilitation Physician West Columbia, SC

Practice location

Address: 100 Dreher Road Suite 100, West Columbia, SC 29169
Phone: (803) 525-7080

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X Licence PTA.5096 (SC)

Other Physical Medicine & Rehabilitation providers in South Carolina →

Registry record

NPI: 1316633753
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2023
Record last updated: 17 Apr 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.