Jolly, Tori

Jolly, Tori is an individual health care provider with primary practice located at 131 Rinehart Way , Aiken SC 29803-1703. 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. Jolly, Tori can be contacted via phone (803) 335-2200.

Contact Information

Primary practice address
131 Rinehart Way Aiken SC 29803-1703
Phone: (803) 335-2200
Fax: (803) 649-7966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-11042 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4472 South Carolina

Profile Details

NPI number 1003409780
LBN Legal business name Jolly, Tori
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2021
Last updated May 23rd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003409780 NPPES
South Carolina Other 4472 LICENSE

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