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1093253452
JESSICA ANNE MARTISSA
CHARLESTON, SC
NPI
1093253452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC 3600)
Additional Taxonomies
363A00000X Physician Assistant
Enumeration Date
2017-02-06
Last Update Date
2021-03-24
Business Address
JESSICA ANNE MARTISSA MMSc, PA-C
171 ASHLEY AVE
CHARLESTON, SC 29425-7510
Phone number: 843-792-1414
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Mailing Address
JESSICA ANNE MARTISSA MMSc, PA-C
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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