| Grace Ilex Thompson-byrum, PA-C | |
|
1483 Tobias Gadson Blvd Ste 201, Charleston, SC 29407-4796 | |
| (843) 745-5153 | |
| (305) 891-4228 |
| Full Name | Grace Ilex Thompson-byrum |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1483 Tobias Gadson Blvd Ste 201, Charleston, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164151288 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-12338 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 5019 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Ilex Thompson-byrum, PA-C 1065 Ne 125th St Ste 300, North Miami, FL 33161-5833 Ph: (888) 852-6672 | Grace Ilex Thompson-byrum, PA-C 1483 Tobias Gadson Blvd Ste 201, Charleston, SC 29407-4796 Ph: (843) 745-5153 |
Amy Lynn Canino, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 316 Calhoun St, Charleston, SC 29401 Phone: 843-402-1638 Fax: 843-724-2455 | |
Elizabeth Poindexter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Maria Dahl, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2225 Ashley River Rd Apt 378, Charleston, SC 29414 Phone: 704-661-4464 | |
Matthew K Ewald, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Meredith Barb Bauerband, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2180 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 865-647-5800 Fax: 865-647-5979 | |
Jessica Marie Greenwood, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 641 Saint Andrews Blvd, Charleston, SC 29407 Phone: 843-766-9747 | |
Taryn Bentler, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 135 Rutledge Ave, Charleston, SC 29425 Phone: 843-792-3531 |