Tierra Glover
Individual provider Active NPI Driver · Boiling Springs, SC
NPI 1962286906 · NPPES record last updated Aug 21, 2023
Key facts
- NPI
- 1962286906
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 507 Ellersly CT
Boiling Springs, SC 29316-6254 - Phone
- (864) 205-1771
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | SC | Yes |
Addresses
Primary practice location
507 Ellersly CT
Boiling Springs, SC 29316-6254
Mailing address
507 Ellersly CT
Boiling Springs, SC 29316-6254
Phone (864) 205-1771
Other providers in Boiling Springs, SC
- Sabrona Ronai Gantt
- Channing Toney Garrett
- Irina Gazdovich
- Gregory L Gibson
- Kristina Glass
- Golden Thread Therapy Services LLC
- Govinda LLC
- Bryan Everett Green
- Crystal Gayle Green
- Greenville Health Corporation
All providers in Boiling Springs, SC · Driver in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2023. 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.