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

TANNIS JEANETTE BOLTON, PA

Active

TANNIS JEANETTE BOLTON, PA is a Physician Assistant healthcare provider located in AIKEN, South Carolina. NPI 1629092861 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · AIKEN, SC

Registration Details

NPI Number
1629092861
Provider Type
Individual
Gender
Female
NPI Issued
Jul 27, 2006 (19.905521824158 yrs)
Last Updated
May 20, 2025
License
4475 (SC)

Practice Information

Address
131 RINEHART WAY
AIKEN, SC, 298031703
Browse SC providers · Browse ZIP 29803
Phone
8033352200
Fax
8036497966
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in AIKEN, SC

Name Credential NPI
MATTHEW BRYAN HANNA PA 1063405942
MARK H SINK P.A. 1013986009
MR. KEVIN ALLEN ARD P.A. 1023078011
MR. MICHAEL EDWARD SPILLANE PA-C 1114979689
RICHARD JAMES LEGGETT PA 1922047083
MS. ELIZABETH HARRISON CONYERS PAC 1407873086
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.