| Mia Lassiter Medlock, PA-C | |
|
838 W Meeting St, Medical Arts 5 Suite H, Lancaster, SC 29720 | |
| (803) 286-7633 | |
| Not Available |
| Full Name | Mia Lassiter Medlock |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 838 W Meeting St, Lancaster, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518417799 | NPI | - | NPPES |
| 2885PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 2619 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mia Lassiter Medlock, PA-C 838 W Meeting St, Medical Arts 5 Suite H, Lancaster, SC 29720-6233 Ph: () - | Mia Lassiter Medlock, PA-C 838 W Meeting St, Medical Arts 5 Suite H, Lancaster, SC 29720 Ph: (803) 286-7633 |
Ian Michael Carrese, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 W Meeting St, Lancaster, SC 29720 Phone: 843-792-1414 | |
Christin Lee Van Hoy, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 838 W Meeting St Ste H, Lancaster, SC 29720 Phone: 227-380-3285 | |
Duke Kimzey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 800 W Meeting St, Lancaster, SC 29720 Phone: 803-286-1214 Fax: 803-286-1369 | |
Staci Ernandez Polk, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 834 W Meeting St Ste E, Lancaster, SC 29720 Phone: 803-285-5900 | |
Christopher Van Nguyen, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 800 W Meeting St, Lancaster, SC 29720 Phone: 803-286-1214 | |
Rachel Virginia Lang, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 800 N White St, Lancaster, SC 29720 Phone: 803-285-2273 | |
Brittany Leigh Smith, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 800 W Meeting St, Lancaster, SC 29720 Phone: 803-286-1214 |