Camisa, Jerry A

Camisa, Jerry A is an individual health care provider with primary practice located at 4303 Live Oak Dr , Little River SC 29566-9138. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Camisa, Jerry A can be contacted via phone (843) 663-8000.

Contact Information

Primary practice address
4303 Live Oak Dr Little River SC 29566-9138
Phone: (843) 663-8000
Fax: (843) 663-8123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 22934 South Carolina

Profile Details

NPI number 1215585567
LBN Legal business name Camisa, Jerry A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2019
Last updated Aug 29th, 2019 - about 5 years ago

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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