Provider Demographics
NPI:1447913611
Name:HOLMES, CANE JAYSON (PA-C)
Entity type:Individual
Prefix:MR
First Name:CANE
Middle Name:JAYSON
Last Name:HOLMES
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-695-6697
Mailing Address - Fax:
Practice Address - Street 1:315 MEDICAL PKWY STE 100
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-2455
Practice Address - Country:US
Practice Address - Phone:864-454-7422
Practice Address - Fax:864-797-9701
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2025-08-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
363A00000X
SC4492363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant