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Contact Information

NICOLE K LAVIS, PA-C
12051 ASHEVILLE HWY
INMAN, SC29349
 Phone: 864-708-3485
 Fax: 864-708-3487
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICOLE K LAVIS · (Female)

NPI Number 1669405262
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 07/08/2006
Last updated 02/09/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • SC License # PA 1645
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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