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

GRACE ILEX THOMPSON-BYRUM, PA-C

Active Sole Proprietor

GRACE ILEX THOMPSON-BYRUM, PA-C is a Physician Assistant healthcare provider located in CHARLESTON, South Carolina. NPI 1164151288 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · CHARLESTON, SC

Registration Details

NPI Number
1164151288
Provider Type
Individual
Gender
Female
NPI Issued
Jun 6, 2022 (4.181297679762 yrs)
Last Updated
Dec 26, 2024
Licenses
0010-12338 (NC)
5019 (SC)
Sole Proprietor
Yes

Practice Information

Address
1483 TOBIAS GADSON BLVD STE 201
CHARLESTON, SC, 294074796
Browse SC providers · Browse ZIP 29407
Phone
8437455153
Fax
3058914228
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in CHARLESTON, SC

Name Credential NPI
MS. BETH ALLISON GRIFFIN PA-C 1356346688
MS. JULIE H NEVILLE PA 1609875483
MRS. RENEE L. LARSEN P.A. 1740289511
MRS. VICKI E ALLEN PA C 1811987407
MICHAEL D OVERCASH PA 1376520171
KARA COMPTON PA-C 1609840206
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.