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MR. JOSHUA JEREMIAH BEARDSLEY PA-C

Physician Assistants & Advanced Practice Nursing Providers Physician Assistant

Provider NPI: 1821097510

Provider Information:
MR. JOSHUA JEREMIAH BEARDSLEY PA-C
Gender: M
Not Sole Proprietor

Practice Location:
200 S HERLONG AVE SUITE B ROCK HILL, SC 29732-3399 US
Tel: 803-327-8500  Fax: 803-327-8505

Business Mailing Address:
200 S HERLONG AVE SUITE B ROCK HILL, SC 29732-3399 US
Tel: 803-327-8500  Fax: 803-327-8505

NPI Information:
NPI: 1821097510
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
NC103940
Y363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
SCPA936

Other Provider Identifiers:

IssuerNumberStateType
RAILROAD MEDICAREP0019375201



American Medical Association 2012 taxonomy code information

Code: 363AS0400X

Type:

Classification:



Definition:



MEDICAL JOBS SC - Page 1

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