Individual provider · Type 1 NPI

Tavanette Ingraham

Student in an Organized Health Care Education/Training Program · Columbia, SC

NPI number 1376461335 Active

Practice location

2 Medical Park Rd
Columbia, SC 29203-6808

Call (803) 434-6430 Map

Other practice locations

  • 1 Medical Park, Suite 420, Columbia, SC 29203 · (803) 434-6430

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376461335

Tavanette Ingraham's National Provider Identifier is 1376461335, issued on Jul 8, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbia, SC. The record was last updated on Oct 1, 2026.