Individual provider · Type 1 NPI

Tannis Jeanette Bolton, PA

Physician Assistant · Aiken, SC

NPI number 1629092861 Active

Practice location

2062 Whiskey Rd
Aiken, SC 29803-6183

Call (803) 648-2339 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X4475 (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 1629092861

Tannis Jeanette Bolton, PA's National Provider Identifier is 1629092861, issued on Jul 27, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Aiken, SC. The record was last updated on Oct 1, 2026.