Jana W Demizio, PA-C
Physician Assistant in Simpsonville, SC. Individual provider (NPI-1).
NPI number1790767697
StatusActive
Last updated in NPPESOct 16, 2024
Details
- NPI
- 1790767697
- Entity type
- Individual (NPI-1)
- Name
- Ms. Jana W Demizio
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2005
- Certification date
- Oct 16, 2024
- Last updated
- Oct 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 824 | SC | Yes |
Practice location
300 Scuffletown RdSimpsonville, SC 29681-7204
Phone 864-522-1550 · Fax 864-522-1555
Mailing address
300 E McBee Ave Fl 4Greenville, SC 29601-2842
Phone 864-522-8603
Other practice locations
1305 S Suber Rd
Greer, SC 29650-0944
Greer, SC 29650-0944
Phone 864-989-4609 · Fax 864-989-4610
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All 18 Physician Assistant providers in Simpsonville · All 1,493 providers in Simpsonville
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