NPI
Tabitha Renee Boan
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- LMT
- Type
- Individual
- Enumeration date
- 2016-09-21
- Last updated
- 2016-09-21
Specialties
Licenses
- License SC
- 8291
Location
- Practice location
- 3150 Bush Ln
- City
- Dalzell SC
- Postal code
- 29040-9724
- Phone
- (540) 589-4248
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Dalzell, SC. 28 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
Run it in Rivvi
Is this you?
Check your listing for a stale address, wrong specialty or deactivation. Free.
Check my listingFree to start. Opens Rivvi, the AI workspace for healthcare teams.