Provider Demographics
NPI:1215650700
Name:BING, TENISHA DONTE
Entity type:Individual
Prefix:
First Name:TENISHA
Middle Name:DONTE
Last Name:BING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 GREENE ST
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-4537
Mailing Address - Country:US
Mailing Address - Phone:843-640-2407
Mailing Address - Fax:
Practice Address - Street 1:1414 GREENE ST
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-4537
Practice Address - Country:US
Practice Address - Phone:843-640-2407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy