Individual provider · Type 1 NPI

Karen Boulanger Pack, PA

Physician Assistant · Charleston, SC

NPI number 1184653610 Active

Practice location

3424 Shelby Ray Ct
Charleston, SC 29414-5838

Call (843) 402-6834 Map

Fax (843) 573-9963

Mailing address

4416 Forest Dr, 2nd Floor
Columbia, SC 29206-3104

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X668 (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 1184653610

Karen Boulanger Pack, PA's National Provider Identifier is 1184653610, issued on Jun 30, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Charleston, SC. The record was last updated on Jul 8, 2007.