Individual
TONJA A CASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFM
Contact information
Practice address
1661 E MAIN ST, EASLEY, SC 29640-3791
(864) 859-4709
(864) 855-9331
Mailing address
1661 E MAIN ST, EASLEY, SC 29640-3791
(864) 859-4709
(864) 855-9331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C36260
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C36260
BOC
SC
Enumeration date
03/15/2010
Last updated
03/15/2010
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