Fellis, Lisa
Fellis, Lisa is an individual health care provider with primary practice located at 1200 Talisman Dr , North Augusta SC 29841-4032. She 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 / Physician Assistant is her primary health care specialty. Fellis, Lisa can be contacted via phone (800) 226-8874.Contact Information
Primary practice address
1200 Talisman Dr
North Augusta SC 29841-4032
Phone: (800) 226-8874
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9113743 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA9113743 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 4964 | South Carolina |
Profile Details
| NPI number | 1013505940 |
|---|---|
| LBN Legal business name | Fellis, Lisa |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2021 |
| Last updated | Jul 17th, 2024 - about 2 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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