Individual
HEATHER NICOLE PASTVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1801 SUNSET DR, COLUMBIA, SC 29203-6803
(803) 434-4153
(803) 434-4160
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
Primary
2981
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3267PA
—
SC
Enumeration date
02/13/2019
Last updated
12/07/2022
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