W Pettigrew Clare | |
1155 Fort Lamar Rd Charleston SC 29412-9683 | |
(843) 762-3550 | |
(843) 795-8945 |
Full Name | W Pettigrew Clare |
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Speciality | Internal Medicine |
Location | 1155 Fort Lamar Rd, Charleston, South Carolina |
Authorized Official Name and Position | William Pettigrew Clare (OWNER) |
Authorized Official Contact | 8437623550 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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W Pettigrew Clare 1155 Fort Lamar Rd Charleston SC 29412-9683 Ph: (843) 762-3550 | W Pettigrew Clare 1155 Fort Lamar Rd Charleston SC 29412-9683 Ph: (843) 762-3550 |
NPI Number | 1932223179 |
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Provider Enumeration Date | 03/16/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932223179 | NPI | - | NPPES |
57-051956 | Other | SC | TAX IDENTIFICATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 5058 (South Carolina) | Primary |
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