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Mr. Richard Jeremy Wallace, PA-C
Physician Assistant in Williston, South Carolina
NPI 1841583788

Richard Jeremy Wallace is a Physician Assistant based in Barnwell, SC. Richard Jeremy Wallace practices in Williston, SC and has the professional credentials of PA-C. The NPI Number for Richard Jeremy Wallace is 1841583788 and holds a License No. (South Carolina).

The current practice location address for Richard Jeremy Wallace is 13649 Church Street, Williston, SC and can be reached out via phone at 803-266-0060 and via fax at 803-266-0042.

Location: 13649 Church Street, Williston, SC, 29812-1529
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841583788
Provider Name
Richard Jeremy Wallace
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
13649 Church Street, Williston, SC, 29812-1529
Phone Number
803-266-0060
Fax Number
803-266-0042
Provider Enumeration Date
05/25/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2920 01 SC MEDICAL LICENSE
SCE705 01 SC MEDICARE
3559PA 05 SC
institution
Provider Business Practice Location Address Details
Address
13649 Church Street
City
Williston
State
South Carolina
Zip
29853
Phone Number
803-266-0060
Fax Number
803-266-0042
person
Provider Business Mailing Address Details
Address
13649 Church Street
City
Williston
State
South Carolina
Zip
29853
Phone Number
803-266-0060
Fax Number
803-266-0042
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
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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.
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