Humphreys, Tonya M
Humphreys, Tonya M is an individual health care provider with primary practice located at 459 N Highway 52 , Moncks Corner SC 29461-3924. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Humphreys, Tonya M can be contacted via phone (843) 899-3872.Contact Information
Primary practice address
459 N Highway 52
Moncks Corner SC 29461-3924
Phone: (843) 899-3872
Fax: (843) 899-3877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1072 | South Carolina |
Profile Details
| NPI number | 1376582858 |
|---|---|
| LBN Legal business name | Humphreys, Tonya M |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Dec 26th, 2023 - about 3 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 | 1376582858 | NPPES |
| South Carolina | Other | 1069402 | NCCPA |
| South Carolina | MEDICAID | 0391PA | NCCPA |
| South Carolina | Other | AA1344A634 | NCCPA |
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