Individual
JASON KENNETH TRIGIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
730 STONY LANDING RD, MONCKS CORNER, SC 29461-2904
(800) 846-7707
(843) 899-7885
Mailing address
PO BOX 601495, CHARLOTTE, NC 28260-1495
(843) 789-1620
(843) 724-2454
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
A674
SC
363AS0400X
Surgical Physician Assistant
Primary
674
SC
363AS0400X
Surgical Physician Assistant
A674
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0026PA
—
SC
Enumeration date
07/19/2005
Last updated
11/02/2021
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