Individual provider · Type 1 NPI

Tashure Lott

Surgical Physician Assistant · Columbia, SC

NPI number 1700640323 Active

Practice location

1850 Laurel St Ste 1A
Columbia, SC 29201-2658

Call (803) 376-5982 Map

Fax (803) 376-5987

Mailing address

300 E Mcbee Ave Ste 300
Greenville, SC 29601-2899

Other practice locations

  • 508 Toluca St, Union, SC 29379-2058 · (864) 466-2753

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400X6261 (SC)

Surgical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1700640323

Tashure Lott's National Provider Identifier is 1700640323, issued on Feb 13, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Columbia, SC. The record was last updated on Mar 26, 2026.