Patricia Lynn Sandgren in North Charleston - Physician Assistant

Patricia Lynn Sandgren - NPI 1912923293

Patricia Lynn Sandgren is a Physician Assistant in North Charleston, South Carolina. Patricia Lynn Sandgren practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Patricia Lynn Sandgren is 1912923293. The last update date is 2007-07-16.

Patricia Lynn Sandgren's current location address is 2880 Tricom St, North Charleston, South Carolina. You can contact this provider via phone number 8437975050 and fax number 8437973633. The mailing address for Patricia Lynn Sandgren is 2880 Tricom St, North Charleston, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Patricia Lynn Sandgren
Address 2880 Tricom St, North Charleston, South Carolina
Phone Number 8437975050
Fax Number 8437973633
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1912923293
Provider Enumeration Date 2006-07-13
Last Updated Date 2007-07-16

Provider Mailing Address Detail

Address 2880 Tricom St
City North Charleston
State South Carolina (SC)
Post Code 294069171
Phone Number 8437975050
Fax Number 8437973633

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 276
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
621330S SC SELECT HLTH
03509A SC --

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FAQs about Patricia Lynn Sandgren

What is the Patricia Lynn Sandgren's 1912923293?

The Patricia Lynn Sandgren's NPI (National Provider Identifier) Number is 1912923293. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Patricia Lynn Sandgren's physical address?

The Patricia Lynn Sandgren is physically located at 2880 Tricom St, in the city of North Charleston, SC, with the postal code 294069171.

What is Patricia Lynn Sandgren's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Patricia Lynn Sandgren's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1912923293 to Patricia Lynn Sandgren?

The Centers for Medicare & Medicaid Services assigned the 1912923293 to Patricia Lynn Sandgren on 2006-07-13.

When was the information pertaining to Patricia Lynn Sandgren most recently updated or revised?

The details related to Patricia Lynn Sandgren, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-16.

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