Individual provider · Type 1 NPI

Laura Wierichs, PA

Surgical Physician Assistant · Summerville, SC

NPI number 1114579380 Active

Practice location

300 Callen Blvd Ste 220
Summerville, SC 29486-2816

Fax (843) 881-5081

Mailing address

PO Box 751649
Charlotte, NC 28275-1649

Other practice locations

  • 1365 Clifton Rd NE Ste B1000, Atlanta, GA 30322-1013 · (404) 778-4898

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X9318 (GA)
Surgical Physician Assistant Primary 363AS0400X4528 (SC)

Surgical Physician Assistant: Definition to come...

11 other providers at this address

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About NPI 1114579380

Laura Wierichs, PA's National Provider Identifier is 1114579380, issued on Jul 9, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Summerville, SC. The record was last updated on Nov 10, 2022.