Unknown Individual – Physician Assistant, NPI 1447351200
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1908, Dunlin Court, Hammonds Pointe, Greenville County, South Carolina, 29687, United States
GREENVILLE, TX 754031908
Phone: (903) 455-5955
Fax: (903) 454-4514
Type: Mailing
8110, Wesley Street, Greenville, Hunt County, Texas, 75402, United States
SUITE 100
GREENVILLE, TX 754023935
Phone: (903) 408-7979
Fax: (903) 454-8751
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75403)
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