Individual provider · Type 1 NPI

Jeffrey Russell Pike, PA

Medical Physician Assistant · North Charleston, SC

NPI number 1689825895 Active

Practice location

5070 International Blvd Ste 131
North Charleston, SC 29418-6007

Fax (843) 724-1325

Mailing address

PO Box 751649
Charlotte, NC 28275-1649

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1385 (SC)

Medical Physician Assistant: Definition to come...

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About NPI 1689825895

Jeffrey Russell Pike, PA's National Provider Identifier is 1689825895, issued on Oct 7, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in North Charleston, SC. The record was last updated on Jan 19, 2022.