Individual
ELLEN JASKIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1494 W WADE HAMPTON BLVD STE C, GREER, SC 29650-1166
(864) 757-5059
Mailing address
9 TACK LN, GREER, SC 29650-5337
(864) 399-0606
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/27/2023
Last updated
11/12/2024
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