Jessica Smith Willard in Greenwood - Surgical
Jessica Smith Willard - NPI 1710058342
Jessica Smith Willard is a Surgical in Greenwood, South Carolina. Jessica Smith Willard practices all healthcare services and medical treatments related to Surgical. The NPI Number for Jessica Smith Willard is 1710058342. The last update date is 2021-12-14.
Jessica Smith Willard's current location address is 102 Gregor Mendel Cir, Greenwood, South Carolina. You can contact this provider via phone number 8642292663 and fax number 8642235694. The mailing address for Jessica Smith Willard is 102 Gregor Mendel Cir, Greenwood, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Smith Willard |
|---|---|
| Address | 102 Gregor Mendel Cir, Greenwood, South Carolina |
| Phone Number | 8642292663 |
| Fax Number | 8642235694 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1710058342 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2021-12-14 |
Provider Mailing Address Detail
| Address | 102 Gregor Mendel Cir |
|---|---|
| City | Greenwood |
| State | South Carolina (SC) |
| Post Code | 296462315 |
| Phone Number | 8642292663 |
| Fax Number | 8642235694 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 1082 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0687PA | SC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jessica Smith Willard by the Centers for Medicare & Medicaid Services?
The Jessica Smith Willard has been issued the NPI (National Provider Identifier) 1710058342 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Jessica Smith Willard located?
The Jessica Smith Willard is located at 102 Gregor Mendel Cir, Greenwood, SC 296462315.
What is Jessica Smith Willard's area of expertise and its corresponding taxonomy classification?
The Jessica Smith Willard's field of specialization is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their areas of practice.
When was the Jessica Smith Willard's 1710058342 issued?
The Jessica Smith Willard's 1710058342 was issued on 2006-11-13.
As of what date was the information regarding Jessica Smith Willard, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jessica Smith Willard, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-12-14.