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Individual

TONY NELSON MCCURRY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
102 W 8TH NORTH ST STE B, SUMMERVILLE, SC 29483-6656
(844) 975-6683
(843) 606-8056
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2275
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2107PA
SC
01
D043
ARCIS HEALTHCARE GROUP MEDICARE PTAN
SC
01
GP6337
ARCIS HEALTHCARE GROUP MEDICAID PTAN
SC
Enumeration date
11/21/2014
Last updated
04/30/2025
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