Tara Andrea Reiss, PA-C
Physician Assistant, Medical in Greer, SC. Individual provider (NPI-1).
NPI number1760636302
StatusActive
Last updated in NPPESAug 25, 2010
Details
- NPI
- 1760636302
- Entity type
- Individual (NPI-1)
- Name
- Tara Andrea Reiss
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 10, 2008
- Last updated
- Aug 25, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 1342 | SC | Yes |
Other names
- Tara Andrea Brennan (Former Name)
Practice location
3115d Brushy Creek RdGreer, SC 29650-0903
Phone 864-877-4221 · Fax 864-877-1711
Mailing address
3115d Brushy Creek RdGreer, SC 29650-0903
Phone 864-877-4221 · Fax 864-877-1711
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