| Kathleen Antonetti, Md, Llc | |
|
305 Bluestem Dr Elgin SC 29045-2103 | |
| (337) 991-9276 | |
| Not Available |
| Full Name | Kathleen Antonetti, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 305 Bluestem Dr, Elgin, South Carolina |
| Authorized Official Name and Position | Kathleen Antonetti (OWNER) |
| Authorized Official Contact | 3379919276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen Antonetti, Md, Llc Po Box 60394 Lafayette LA 70596-0394 Ph: () - | Kathleen Antonetti, Md, Llc 305 Bluestem Dr Elgin SC 29045-2103 Ph: (337) 991-9276 |
| NPI Number | 1164969796 |
|---|---|
| Provider Enumeration Date | 01/20/2017 |
| Last Update Date | 01/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164969796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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