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Individual

MADISON JONES WARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
325 MEDICAL PKWY STE 200, GREER, SC 29650-2457
(864) 797-9550
(864) 797-9555
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4545
SC
363A00000X
Physician Assistant

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
SC
Enumeration date
09/02/2022
Last updated
11/07/2022
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