Andazola, Jimmy F

Andazola, Jimmy F is an individual health care provider with primary practice located at 890 W Faris Rd Ste 580 , Greenville SC 29605-4281. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Andazola, Jimmy F can be contacted via phone (864) 455-7874.

Contact Information

Primary practice address
890 W Faris Rd Ste 580 Greenville SC 29605-4281
Phone: (864) 455-7874
Fax: (864) 455-8933
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4505 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2014-0051 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7337 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2014-0051 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 3518 South Carolina

Profile Details

NPI number 1396148326
LBN Legal business name Andazola, Jimmy F
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2014
Last updated Mar 28th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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