Individual
THANH-HA ALYSSA COX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
890 W FARIS RD STE 580, GREENVILLE, SC 29605-4281
(864) 455-7874
(864) 455-8933
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
321867
LA
363A00000X
Physician Assistant
Primary
4363
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321867
STATE LICENSE
LA
05
—
PENDING
—
SC
Enumeration date
03/29/2020
Last updated
07/28/2022
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