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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. TANIA C VANDERBILT, PHYSICIAN ASSISTANT

Active Sole Proprietor

MRS. TANIA C VANDERBILT, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in GREENVILLE, South Carolina. NPI 1265823876 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · GREENVILLE, SC

Registration Details

NPI Number
1265823876
Provider Type
Individual
Gender
Female
NPI Issued
Feb 18, 2015 (11.443136502612 yrs)
Last Updated
Mar 10, 2020
License
2193 (SC)
Sole Proprietor
Yes

Practice Information

Address
525 VERDAE BLVD STE 200
GREENVILLE, SC, 296074021
Browse SC providers · Browse ZIP 29607
Phone
8642720388
Fax
8642139273
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in GREENVILLE, SC

Name Credential NPI
CHRISTINE POWERS KOOP PA-C 1598761082
KATHRYN M. MCFADDEN PA-C 1528050101
AUREL KEEW PA 1457334609
SHEA C HARRELSON PA 1306822325
ALLISON CHRISTY SIMON PA 1366428385
KRISTI TOOTHMAN CARLSON PA 1265418297
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.