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MRS. TONJA A GANTT N. P. NPI 1508868266


NPI Information

NPI: 1508868266
Provider Name: MRS. TONJA A GANTT, N. P.
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Address:
716 OLD CHEROKEE RD
LEXINGTON, SC
ZIP 29072
Phone: (803) 359-2273
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MRS. Tonja A Gantt, N. P. is an acute care nurse practitioner in Lexington, SC. MRS. Tonja A Gantt, N. P. NPI is 1508868266. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

716 OLD CHEROKEE RD
LEXINGTON, SC
ZIP 29072-406
Phone: (803) 359-2273

The enumeration date for this NPI number is 8/12/2005 and was last updated on 10/10/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2100XNurse PractitionerAcute CareAPN2136SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1AA07925665MEDICARE ID-TYPE UNSPECIFIED
2Q38409MEDICARE UPIN
3NP0889MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.