Individual
JASON LOOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
112 JOHN STREET, SUITE 201, EASLEY, SC 29640
(864) 850-2663
(864) 306-0012
Mailing address
112 JOHN STREET, SUITE 201, EASLEY, SC 29640
(864) 850-2663
(864) 306-0012
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1359
SC
Other
Enumeration date
10/06/2008
Last updated
01/29/2014
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