Provider Demographics
NPI:1013055706
Name:CHEN, TAMMY T (MD)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:T
Last Name:CHEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2424 INDIA HOOK RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-2784
Mailing Address - Country:US
Mailing Address - Phone:803-328-8255
Mailing Address - Fax:803-328-8265
Practice Address - Street 1:2424 INDIA HOOK RD
Practice Address - Street 2:SUITE 120
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-2784
Practice Address - Country:US
Practice Address - Phone:803-328-8255
Practice Address - Fax:803-328-8265
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2013-01-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SC313612084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC313618Medicaid
SCAA42659325OtherMCR PTAN