Jesse William Price III PA-C

NPI 1093091761 - Physician Assistant - 363AM0700X

NPI Details
NPI 1093091761
Gender Male
Enumeration Date 10/26/2011
Last Updated 01/29/2013
Entity Type Individual
Active Over 5 years ago
Practice Location
MT PLEASANT SC, 29464-1812, US
Phone (843) 884-1777
Fax (843) 884-0710
Business Location
PO BOX 751649
CHARLOTTE NC, 28275-1649, US
Phone (843) 789-1620
Fax (843) 724-2440
Taxonomy Code 363AM0700X
License State
License Number
Remove 1093091761 NPI Number

According to our database, Mr. Jesse William Price III PA-C NPI is 1093091761, taxonomy code is 363AM0700X Jesse William Price III PA-C physically located at 180 Wingo Way, Mt Pleasant SC, 29464-1812. NPI Number Jesse William Price III PA-C has the Individual type.

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1093091761 NPI number is provided on an as is basis without warranty of any kind. 1093091761 is maintained by the National Plan & Provider Enumeration System. The contents of Jesse William Price III PA-C are for informational purposes only.