Individual
JENNIFER K. ST. LOUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8 HOSPITAL CENTER BLVD STE 130, HILTON HEAD, SC 29926-8701
(843) 682-2800
Mailing address
1120 15TH ST STE BI1056, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003197
GA
363A00000X
Physician Assistant
3626
SC
363AS0400X
Surgical Physician Assistant
003197
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619087095
NPI
GA
Enumeration date
08/30/2006
Last updated
03/11/2026
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