Individual
MS. JANA W DEMIZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 SCUFFLETOWN RD, SIMPSONVILLE, SC 29681-7204
(864) 522-1550
(864) 522-1555
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
824
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0284PA
—
SC
Enumeration date
11/16/2005
Last updated
10/16/2024
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