Doctor Name: | CHRISTOPHER A. PRASUN |
NPI Number: | 1033178801 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | 782 |
Business Practice Address: | 315 Medical Pkwy Suite 100 Greer, SC - 296502456 |
Business Phone Number: | 8644547422 |
Business Fax Number: | 8647979701 |
Mailing Address: | 1 Independence Pt, Suite 212 GREENVILLE |
State: | SC |
Postal Code: | 296154545 |
Phone Number: | 8647976044 |
Fax Number: | |
NPI Enumeration Date: | 03/21/2006 |
NPI Last Update Date: | 08/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 782 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |