MEDICARE: MS. ALLYSON CROSSLEY PERRY PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	3272	SC
2	363A00000X	Physician Assistant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306312178
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ALLYSON CROSSLEY PERRY PA-C

Provider Business Mailing Address
First Line	:	146 E HOSPITAL DR STE 410
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-4800
Country	:	US
Telephone Number	:	803-936-3300
Fax Number	:	803-314-9731

Provider Business Practice Location Address
First Line	:	146 E HOSPITAL DR STE 410
Second Line	:
City	:	WEST COLUMBIA
State	:	SC
Zip	:	29169-4800
Country	:	US
Telephone Number	:	803-936-3300
Fax Number	:	803-314-9731

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/19/2018
Last Update Date	:	02/25/2026

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