Tishma McGarrell
Individual provider Active NPI Prosthetist · Bridgeton, NC
NPI 1962058909 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1962058909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetist 224P00000X
- Practice address
- 102 N B Street
Bridgeton, NC 28519-2851 - Phone
- (252) 876-1176
- NPI assigned
- Aug 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C88088 | NC | MD | Prosthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transitions by Tishma | Prosthetist | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | C88088 | NC | |
| Prosthetist | 224P00000X | Yes |
Addresses
Primary practice location
102 N B Street
Bridgeton, NC 28519-2851
Mailing address
755 Ange Rd
Grifton, NC 28530-9036
Phone (252) 876-1176
Other providers in Bridgeton, NC
All providers in Bridgeton, NC · Prosthetist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.