| Tayvionna Etheredge, | |
|
100 Dreher Road, Suite 100, West Columbia, SC 29169 | |
| (803) 525-7080 | |
| Not Available |
| Full Name | Tayvionna Etheredge |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 100 Dreher Road, West Columbia, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316633753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | PTA.5096 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tayvionna Etheredge, 100 Dreher Road, Suite 100, West Columbia, SC 29169 Ph: () - | Tayvionna Etheredge, 100 Dreher Road, Suite 100, West Columbia, SC 29169 Ph: (803) 525-7080 |
Dr. Tiffany Nicole Howard, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 103 Sum Mor Dr, Vitality Medical Centers, Inc., West Columbia, SC 29169 Phone: 803-218-9886 | |
Dr. John Evans Stavrakos, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 103 Sum Mor Dr, West Columbia, SC 29169 Phone: 803-244-9212 | |
William Randal Westerkam, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 222 E Medical Ln Ste 100&200, West Columbia, SC 29169 Phone: 803-935-8410 Fax: 803-936-7816 | |
Maeghan Edge, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1 Still Hopes Dr, West Columbia, SC 29169 Phone: 803-796-6490 | |
Mr. Kenneth Dixon Acker Jr., Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1177 Sunset Blvd, West Columbia, SC 29169 Phone: 803-794-3440 Fax: 803-791-3862 | |
Dr. Robert L. Deters, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 222 East Medical Lane, Suite 200, West Columbia, SC 29169 Phone: 803-935-8410 Fax: 803-936-7816 |