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Phillip Ron Ferrell, PA

Physician Assistant, Surgical in West Columbia, SC. Individual provider (NPI-1).

NPI number1659347201
StatusActive
Last updated in NPPESOct 27, 2020

Details

NPI
1659347201
Entity type
Individual (NPI-1)
Name
Phillip Ron Ferrell
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
Feb 24, 2006
Certification date
Oct 27, 2020
Last updated
Oct 27, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical2811SCYes

Practice location

2728 Sunset Blvd Ste 400
West Columbia, SC 29169-4839

Phone 803-936-7095 · Fax 803-936-7908

Mailing address

Po Box 6069
West Columbia, SC 29171-6069

Phone 803-936-7095 · Fax 803-936-7908

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