David Bradley Pavlakovich in Columbia - Physician Assistant

David Bradley Pavlakovich - NPI 1881800654

David Bradley Pavlakovich is a Physician Assistant in Columbia, South Carolina. David Bradley Pavlakovich practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for David Bradley Pavlakovich is 1881800654. The last update date is 2007-07-08.

David Bradley Pavlakovich's current location address is 3067 Lindenwood Dr, Columbia, South Carolina. You can contact this provider via phone number 8035864454. The mailing address for David Bradley Pavlakovich is 3067 Lindenwood Dr, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name David Bradley Pavlakovich
Address 3067 Lindenwood Dr, Columbia, South Carolina
Phone Number 8035864454
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1881800654
Provider Enumeration Date 2007-05-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3067 Lindenwood Dr
City Columbia
State South Carolina (SC)
Post Code 292043165
Phone Number 8035864454
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1195
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about David Bradley Pavlakovich

What is the unique 10-digit identification code assigned to David Bradley Pavlakovich by the Centers for Medicare & Medicaid Services?

The David Bradley Pavlakovich has been issued the NPI (National Provider Identifier) 1881800654, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where David Bradley Pavlakovich's facilities are situated?

The facilities of David Bradley Pavlakovich are physically located at the following address: 3067 Lindenwood Dr, Columbia, SC, 292043165.

What is the area of specialization for David Bradley Pavlakovich, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for David Bradley Pavlakovich is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

When did the David Bradley Pavlakovich receive its 1881800654?

The David Bradley Pavlakovich was issued its 1881800654 on 2007-05-16, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding David Bradley Pavlakovich, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to David Bradley Pavlakovich, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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