| W Pettigrew Clare | |
|
1155 Fort Lamar Rd Charleston SC 29412-9683 | |
| (843) 762-3550 | |
| (843) 795-8945 |
| Full Name | W Pettigrew Clare |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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