Individual
JONATHAN EUGENE YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
309 E 1ST AVE, EASLEY, SC 29640-3040
(864) 850-2663
(864) 522-5785
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1143
SC
363AS0400X
Surgical Physician Assistant
1143
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0484PA
—
SC
Enumeration date
09/21/2006
Last updated
05/26/2021
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