person
Theresa R Little, PAC
Medical Physician Assistant in Greenville, South Carolina
NPI 1396799763

Theresa R Little is a Medical Physician Assistant based in Greenville, SC and is specialized in Medical. Theresa R Little practices in Greenville, SC and has the professional credentials of PAC. The NPI Number for Theresa R Little is 1396799763 and holds a License No. A820 (South Carolina).

The current practice location address for Theresa R Little is 111 Doctors Dr, Greenville, SC and can be reached out via phone at 864-797-7100 and via fax at 864-797-7105. You can also correspond with Theresa R Little through the mailing address at 1 INDEPENDENCE PT, GREENVILLE, SC - 29615-4545 (mailing address contact number: 864-797-6044).

Location: 111 Doctors Dr, Greenville, SC, 29615-4545
person
Provider Profile Details
NPI Number
1396799763
Provider Name
Theresa R Little
Credential
PAC
Provider Entity Type
Individual
Gender
Female
Address
111 Doctors Dr, Greenville, SC, 29615-4545
Phone Number
864-797-7100
Fax Number
864-797-7105
Provider Enumeration Date
05/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00802359 01 SC RR MEDICARE
0085PA 05 SC
institution
Provider Business Practice Location Address Details
Address
111 Doctors Dr
City
State
Zip
29605-5608
Phone Number
864-797-7100
Fax Number
864-797-7105
person
Provider Business Mailing Address Details
Address
111 Doctors Dr
City
State
Zip
29605-5608
Phone Number
864-797-7100
Fax Number
864-797-7105
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
A820 (South Carolina)
Definition
Definition to come...
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