person
Mr. James Joseph Pavao, PA-C
Surgical Physician Assistant in Charleston, South Carolina
NPI 1952490013

James Joseph Pavao is a Surgical Physician Assistant based in Charlotte, SC and is specialized in Surgical. James Joseph Pavao practices in Charleston, SC and has the professional credentials of PA-C. The NPI Number for James Joseph Pavao is 1952490013 and holds a License No. 1582 (South Carolina).

The current practice location address for James Joseph Pavao is 2145 Henry Tecklenburg Dr, Charleston, SC and can be reached out via phone at 843-723-8823.

Location: 2145 Henry Tecklenburg Dr, Charleston, SC, 28275-1649
person
Provider Profile Details
NPI Number
1952490013
Provider Name
James Joseph Pavao
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
2145 Henry Tecklenburg Dr, Charleston, SC, 28275-1649
Phone Number
843-723-8823
Fax Number
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GP5006 01 SC MEDICAID GROUP #
GP5005 01 SC MEDICAID GROUP #
GP5072 01 SC MEDICAID GROUP #
5551 01 SC MEDICARE GROUP #
0733PA 05 SC
GP5004 01 SC MEDICAID GROUP #
P00648630 01 SC RAILROAD MEDICARE ID
GP5007 01 SC MEDICAID GROUP #
institution
Provider Business Practice Location Address Details
Address
2145 Henry Tecklenburg Dr
City
State
Zip
29414-5893
Phone Number
843-723-8823
Fax Number
person
Provider Business Mailing Address Details
Address
2145 Henry Tecklenburg Dr
City
State
Zip
29414-5893
Phone Number
843-723-8823
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
1582 (Massachusetts)
Definition
Definition to come...
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