Provider Demographics
NPI:1114933942
Name:ALMY-ALBERT, TRESA (MD)
Entity Type:Individual
Prefix:DR
First Name:TRESA
Middle Name:
Last Name:ALMY-ALBERT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 OKATIE BLVD. S
Mailing Address - Street 2:SUITE 201
Mailing Address - City:OKATIE
Mailing Address - State:SC
Mailing Address - Zip Code:29909
Mailing Address - Country:US
Mailing Address - Phone:843-706-3206
Mailing Address - Fax:
Practice Address - Street 1:4 OKATIE BLVD. S
Practice Address - Street 2:STE 201
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909
Practice Address - Country:US
Practice Address - Phone:843-706-3206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY245165208000000X
SC87089208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics