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Tina Marlene Ellis, PA
Physician Assistant in North Charleston, South Carolina
NPI 1053648436

Tina Marlene Ellis is a Physician Assistant based in North Charleston, SC. Tina Marlene Ellis practices in North Charleston, SC and has the professional credentials of PA. The NPI Number for Tina Marlene Ellis is 1053648436 and holds a License No. 2889 (South Carolina).

The current practice location address for Tina Marlene Ellis is 4969 Centre Pointe Dr, North Charleston, SC and can be reached out via phone at 843-853-0250 and via fax at 843-606-8103. You can also correspond with Tina Marlene Ellis through the mailing address at 4969 CENTRE POINTE DR, NORTH CHARLESTON, SC - 29418-6952 (mailing address contact number: 843-853-0250).

Location: 4969 Centre Pointe Dr, North Charleston, SC, 29418-6952
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053648436
Provider Name
Tina Marlene Ellis
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4969 Centre Pointe Dr, North Charleston, SC, 29418-6952
Phone Number
843-853-0250
Fax Number
843-606-8103
Provider Enumeration Date
11/05/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4750017 05 AZ
institution
Provider Business Practice Location Address Details
Address
4969 Centre Pointe Dr
City
North Charleston
State
South Carolina
Zip
29418-6952
Phone Number
843-853-0250
Fax Number
843-606-8103
person
Provider Business Mailing Address Details
Address
4969 Centre Pointe Dr
City
North Charleston
State
South Carolina
Zip
29418-6952
Phone Number
843-853-0250
Fax Number
843-606-8103
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
2889 (South Carolina)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
2889 (South Carolina)
Definition
Definition to come...
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