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Search › South Carolina › Physician Assistant

Mirakle Avery

NPI 1013772391 · on the registry since 2024

Practice

Address
2611 Forest Dr Ste 200
Columbia, SC 29204
Phone
(803) 799-3263
Organisation at this address
Acanesthesia
Journey Forward
Journey Forward, Llc
Palmetto Pain Management Llc
Palmetto Pain Management, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-01-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina