Provider Demographics
NPI:1942253810
Name:RAMSAY, PRISCILLA J (PAC)
Entity Type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:J
Last Name:RAMSAY
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 INDIA HOOK RD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29732-3270
Mailing Address - Country:US
Mailing Address - Phone:803-366-7443
Mailing Address - Fax:803-329-1118
Practice Address - Street 1:2450 INDIA HOOK RD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29732-3270
Practice Address - Country:US
Practice Address - Phone:803-366-7443
Practice Address - Fax:803-329-1118
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50002147363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
RAPA23113Medicare PIN
OHQ17986Medicare UPIN