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Individual

JAMES P VERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1131 SALUDA ST., ROCK HILL, SC 29731-6028
(803) 325-7744
(803) 325-1789
Mailing address
PO BOX 28, 1131 SALUDA ST., ROCK HILL, SC 29731-6028
(803) 325-7744
(803) 325-1789

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
SC1166
SC
363AS0400X
Surgical Physician Assistant
1166
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0785PA
SC
Enumeration date
11/01/2006
Last updated
02/17/2010
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