Gantt, Tonja A
Gantt, Tonja A is an individual health care provider with primary practice located at 716 Old Cherokee Rd , Lexington SC 29072-9406. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Gantt, Tonja A can be contacted via phone (803) 359-2273.Contact Information
Primary practice address
716 Old Cherokee Rd
Lexington SC 29072-9406
Phone: (803) 359-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | APN2136 | South Carolina |
Profile Details
| NPI number | 1508868266 |
|---|---|
| LBN Legal business name | Gantt, Tonja A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Oct 10th, 2014 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508868266 | NPPES |
| South Carolina | MEDICAID | NP0889 |
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