Individual
MISS REBECCA PROVOST LAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
204 PARSONS RD, SUMMERVILLE, SC 29483-3348
(854) 201-3636
(854) 201-1983
Mailing address
204 PARSONS RD, SUMMERVILLE, SC 29483-3348
(854) 201-3636
(854) 201-1983
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2024
Last updated
01/21/2026
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