Erryn C Provencher, PA-C

NPI #1568828432 in Sumter, South Carolina

Provider Information

NPI Number: 1568828432
Entity Type: Individual
Name: Erryn C Provencher, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 8, 2016
Last Updated: Mar 30, 2023

Practice Location

Address: 674 W LIBERTY ST
City: Sumter
State: South Carolina
ZIP Code: 29150-4882
Phone: (803) 773-5227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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