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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEFFSHAN SAM JOSE JOHN PONNARASU, PA

Active

JEFFSHAN SAM JOSE JOHN PONNARASU, PA is a Physician Assistant healthcare provider located in CHERAW, South Carolina. NPI 1003677220 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CHERAW, SC

Registration Details

NPI Number
1003677220
Provider Type
Individual
Gender
Male
NPI Issued
Jan 16, 2024 (2.5717440658092 yrs)
Last Updated
Jul 11, 2024
License
5338 (SC)

Practice Information

Address
316 2ND ST
CHERAW, SC, 295202404
Browse SC providers · Browse ZIP 29520
Phone
8439214851
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in CHERAW, SC

Name Credential NPI
EMILY LEYRER WALL PA 1497523609
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.