Provider Demographics
NPI:1710535315
Name:GASKIN, ANNE CLAIRE (PA)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:CLAIRE
Last Name:GASKIN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:CLAIRE
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:545 VERDAE BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-4021
Mailing Address - Country:US
Mailing Address - Phone:864-334-0141
Mailing Address - Fax:864-334-0137
Practice Address - Street 1:545 VERDAE BLVD STE B
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-4021
Practice Address - Country:US
Practice Address - Phone:864-334-0141
Practice Address - Fax:864-334-0137
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-28
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCPA3915363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant