NPI 1679601413
Tara Gresham
Practice location
- Address
- 1050 Register St, Charleston, SC 29405-2421
- Phone
- (843) 740-3147
- Mailing address
- 11100 Nnptc Circle, Goose Creek, SC 29445
Registered specialties
Basic Emergency Medical Technician
Primary
Registry record
- NPI
- 1679601413
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 2 Mar 2007
- Record last updated
- 19 Feb 2026
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.