Individual provider · Type 1 NPI

Christi Nicole Takac

Physician Assistant · Mount Pleasant, SC

NPI number 1114780319 Active

Practice location

1625 Hospital Dr Ste 200
Mount Pleasant, SC 29464-3892

Fax (843) 884-0629

Mailing address

PO Box 749340
Atlanta, GA 30374-9340

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Physician Assistant Primary 363A00000X5639 (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 1114780319

Christi Nicole Takac's National Provider Identifier is 1114780319, issued on Feb 1, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Mount Pleasant, SC. The record was last updated on Aug 5, 2025.