Provider Demographics
NPI:1548150477
Name:SIMPSON, TAMATHA MISHELL
Entity type:Individual
Prefix:MS
First Name:TAMATHA
Middle Name:MISHELL
Last Name:SIMPSON
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 1:10765 HIGHWAY 78 E APT 312
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-8745
Mailing Address - Country:US
Mailing Address - Phone:843-303-0458
Mailing Address - Fax:
Practice Address - Street 1:10765 HIGHWAY 78 E APT 312
Practice Address - Street 2:
Practice Address - City:SUMMERVILLE
Practice Address - State:SC
Practice Address - Zip Code:29483-8745
Practice Address - Country:US
Practice Address - Phone:843-303-0458
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC231043246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy