Individual provider · Type 1 NPI

Jeffshan Sam Jose John Ponnarasu, PA

Physician Assistant · Cheraw, SC

NPI number 1003677220 Active

Practice location

316 2nd St
Cheraw, SC 29520-2404

Mailing address

709 Mall Blvd
Savannah, GA 31406-4805

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X5338 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1003677220

Jeffshan Sam Jose John Ponnarasu, PA's National Provider Identifier is 1003677220, issued on Jan 16, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Cheraw, SC. The record was last updated on Jul 11, 2024.