Tayvionna Etheredge, - Physical Medicine & Rehabilitation in West Columbia, SC

Tayvionna Etheredge, is a Physical Medicine & Rehabilitation physician based in West Columbia, South Carolina. Tayvionna Etheredge is licensed to practice in South Carolina (license number PTA.5096) and her current practice location is 100 Dreher Road, Suite 100, West Columbia, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 525-7080.

NPI number for Tayvionna Etheredge is 1316633753 and her current mailing address is 100 Dreher Road, Suite 100, West Columbia, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316633753.

Contact Information

Tayvionna Etheredge,
100 Dreher Road, Suite 100,
West Columbia, SC 29169
(803) 525-7080
Not Available



Physician's Profile

Full NameTayvionna Etheredge
GenderFemale
SpecialityPhysical Medicine & Rehabilitation
Location100 Dreher Road, West Columbia, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1316633753
  • Provider Enumeration Date: 04/17/2023
  • Last Update Date: 04/17/2023

Medical Identifiers

Medical identifiers for Tayvionna Etheredge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316633753NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208100000XPhysical Medicine & Rehabilitation PTA.5096 (South Carolina)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tayvionna Etheredge is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tayvionna Etheredge,
100 Dreher Road, Suite 100,
West Columbia, SC 29169

Ph: () -
Tayvionna Etheredge,
100 Dreher Road, Suite 100,
West Columbia, SC 29169

Ph: (803) 525-7080

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Physical Medicine & Rehabilitation Doctors in West Columbia, SC

Dr. Tiffany Nicole Howard, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 103 Sum Mor Dr, Vitality Medical Centers, Inc., West Columbia, SC 29169
Phone: 803-218-9886    
Dr. John Evans Stavrakos, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 103 Sum Mor Dr, West Columbia, SC 29169
Phone: 803-244-9212    
William Randal Westerkam, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 222 E Medical Ln Ste 100&200, West Columbia, SC 29169
Phone: 803-935-8410    Fax: 803-936-7816
Maeghan Edge, PTA
Physical Medicine & Rehabilitation
Medicare: Not Enrolled in Medicare
Practice Location: 1 Still Hopes Dr, West Columbia, SC 29169
Phone: 803-796-6490    
Mr. Kenneth Dixon Acker Jr.,
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 1177 Sunset Blvd, West Columbia, SC 29169
Phone: 803-794-3440    Fax: 803-791-3862
Dr. Robert L. Deters, MD
Physical Medicine & Rehabilitation
Medicare: Accepting Medicare Assignments
Practice Location: 222 East Medical Lane, Suite 200, West Columbia, SC 29169
Phone: 803-935-8410    Fax: 803-936-7816

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