Zachary Wade Sutton PA-C

NPI 1508167362 - Physician Assistant - 363A00000X

NPI Details
NPI 1508167362
Gender Male
Enumeration Date 11/10/2010
Last Updated 04/05/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
10630 CLEMSON BLVD
STE 100
SENECA SC, 29678-4546, US
Phone (864) 482-6000
Fax (864) 482-7166
Business Location
1 INDEPENDENCE PT STE 212
GREENVILLE SC, 29615-4536, US
Phone (864) 797-6015
Fax
Toxanomy
Taxonomy Code 363A00000X
License State South Carolina
License Number 1601
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According to our database, Mr. Zachary Wade Sutton PA-C NPI is 1508167362, taxonomy code is 363A00000X and license number is 1601, license state is located at South Carolina. Zachary Wade Sutton PA-C physically located at 10630 Clemson Blvd, Seneca SC, 29678-4546. NPI Number Zachary Wade Sutton PA-C has the Individual type.

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1508167362 NPI number is provided on an as is basis without warranty of any kind. 1508167362 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary Wade Sutton PA-C are for informational purposes only.