Ms Tara Shajuan Miles, FNP | |
545 W Butler Rd, Greenville, SC 29607-4833 | |
(864) 299-1990 | |
(864) 299-9123 |
Full Name | Ms Tara Shajuan Miles |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 545 W Butler Rd, Greenville, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215381108 | NPI | - | NPPES |
19424 | Other | SC | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 19424 (South Carolina) | Primary |
Entity Name | Healthfair Plus Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20150112000448 |
Entity Name | Signify Health Medical Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503 |
Mailing Address | Practice Location Address |
---|---|
Ms Tara Shajuan Miles, FNP 211 Boxwood Ln, Anderson, SC 29621-7300 Ph: (864) 221-9352 | Ms Tara Shajuan Miles, FNP 545 W Butler Rd, Greenville, SC 29607-4833 Ph: (864) 299-1990 |
Jennifer Hardy Singletary, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 Verdae Blvd Ste 150, Greenville, SC 29607 Phone: 864-720-1900 Fax: 864-720-1901 | |
Tracey Ann Hoxie, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3807 White Horse Rd Ste Dande, Greenville, SC 29611 Phone: 864-236-5688 | |
Matthew Keaton, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 357 Woodruff Rd, Greenville, SC 29607 Phone: 864-522-8350 | |
Jason Collins, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Grove Rd Fl 1, Greenville, SC 29605 Phone: 864-455-7000 | |
Mary Katelyn Hodges, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2210 Laurens Rd, Greenville, SC 29607 Phone: 864-288-8280 | |
Mr. Matthew Fischer, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 255 Enterprise Blvd Ste 101, Greenville, SC 29615 Phone: 864-454-8120 Fax: 864-454-8125 | |
Rebecca Dawn Leicht, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1809 Wade Hampton Blvd Ste 120, Greenville, SC 29609 Phone: 864-522-5000 Fax: 864-241-9275 |