Individual
JILLIAN PRESTIGIACOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3089 VINCENT ASTOR DR, JOHNS ISLAND, SC 29455-8279
(803) 521-1744
Mailing address
3089 VINCENT ASTOR DR, JOHNS ISLAND, SC 29455-8279
(803) 521-1744
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4599
SC
Other
Enumeration date
10/05/2022
Last updated
02/18/2025
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