TAMALA BOOKER MIDDLETON


Address: 100 Prison Road, Estill, SC 29918
Phone: 8036254603

TAMALA BOOKER MIDDLETON (NPI# 1033768833) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033768833
Entity Type Individual
Full Name TAMALA BOOKER MIDDLETON
Credential ANP-BC
Practice Address 100 Prison Road
Estill
SC 29918
Mailing Address 4002 Campbell St
Savannah
GA 31405-2927
Practice Telephone 8036254603
Practice Fax Number 8036255603
Mailing Telephone 9122200059
Enumeration Date 2019-09-05
Last Update Date 2019-09-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
127388 GA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA N/A 00000000000 01

Office Location

Street Address 100 PRISON ROAD
City ESTILL
State SC
Zip Code 29918

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932648227 Amanda Howard Psychologist 100 Prison Road, Estill, SC 29918 2017-02-20
1174867857 Federal Correctional Ins Estill Clinic/Center 100 Prison Road, Estill, SC 29918-0699 2012-11-19
1891989299 Lawrence Samuel Williams Jr. Dentist 100 Prison Road, Fed Corr Inst Estill, Estill, SC 29918-0699 2007-08-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689001034 Earl B Hartzog Dmd Pa Dentist 123 Catherine Avenue North, Estill, SC 29918 2013-10-01
1790900249 Lesters Diabetic Shoe Serv Durable Medical Equipment & Medical Supplies 41 Blair Circle, Estill, SC 29918 2007-04-17
1821182452 Michelle Marie Mckenzie Optometrist 2010 Browning Gate Road, Estill, SC 29918 2006-10-03
1538192349 Hampton County School District 2 Local Education Agency (LEA) 319 E 4th Street, Estill, SC 29918 2006-07-08
1730512005 Laveda Yolanda Odom Pharmacist 100 Prison Rd, Estill, SC 29918 2013-08-09
1285844761 Zoltan Robert Vendal Clinic/Center 100 Prison Rd., Estill, SC 29918 2007-05-23
1124476320 Latoya Monique Williams Pharmacist 136 Martin Luther King Jr. Blvd N, Estill, SC 29918-0335 2016-05-27
1811037633 David Leroy Barnes Sr. Dentist 144 Catherine Street North, Estill, SC 29918-0547 2007-02-08
1295857456 Hannas Discount Pharmacy Durable Medical Equipment & Medical Supplies 26 East Railroad Ave, Estill, SC 29918-1088 2007-04-06
1548380017 Chris Michael Hanna Sr. Pharmacist 26 E Railroad Ave, Estill, SC 29918-1088 2007-03-30
Find all providers in zip 29918

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1841898038 Latoya Gibson Nurse Practitioner 48 Centennial Way, Greenville, SC 29605-4662 2020-10-12
1003413469 South Carolina Provider Services Nurse Practitioner 413 Wildflower Rd, Easley, SC 29642-8642 2020-10-07
1578173555 Amy Kelly Nurse Practitioner 115 N Sumter St Ste 300, Sumter, SC 29150-4967 2020-08-05
1588293278 Kimberly Dianne Billie Jackson Nurse Practitioner 940 Morningside Dr, Sumter, SC 29153-7724 2020-04-04
1427696475 Porscha Rush Nurse Practitioner 1040 Frye Rd, Galivants Ferry, SC 29544-8018 2019-12-19
1306483011 Julie Marie Sim Nurse Practitioner 35 Bill Fries Dr Bldg F, Hilton Head Island, SC 29926-2731 2019-12-02
1144780909 Chantal Pilar Debreceny Nurse Practitioner 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 2019-03-20
1396225769 Kristin Claude Nurse Practitioner 421 Se Main St Ste 100, Simpsonville, SC 29681-2697 2018-08-15
1376031732 Migina Anica Timpson Nurse Practitioner 317 Saint Francis Dr Ste 220, Greenville, SC 29601-3976 2018-05-01
1932601903 Jamie Andrews Odom Nurse Practitioner 2720 Sunset Blvd Ste 300, West Columbia, SC 29169-4810 2018-03-06
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Competitor

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City ESTILL
Zip Code 29918

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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