TAYVIONNA ETHEREDGE
NPI 1316633753
Physical Medicine & Rehabilitation in West Columbia, SC
About Tayvionna Etheredge NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAYVIONNA ETHEREDGE (NPI 1316633753) is an individual physical medicine & rehabilitation provider in West Columbia, South Carolina, licensed in South Carolina (PTA.5096) and active in the NPI registry since April 2023.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tayvionna Etheredge's NPI number?
The NPI number for Tayvionna Etheredge is 1316633753. It was assigned to this individual provider in the NPPES registry on April 17, 2023.
Where is Tayvionna Etheredge located?
Tayvionna Etheredge practices at 100 Dreher Road Suite 100, West Columbia, SC 29169. The listed phone number is (803) 525-7080.
What is Tayvionna Etheredge's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
When was this NPI record last updated?
The NPPES record for Tayvionna Etheredge was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.