Charles David Petit in Columbia - Geriatric Medicine

Charles David Petit - NPI 1205805215

Charles David Petit is a Geriatric Medicine in Columbia, South Carolina. Charles David Petit practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Charles David Petit is 1205805215. The last update date is 2013-02-01.

Charles David Petit's current location address is 3010 Farrow Rd, Columbia, South Carolina. You can contact this provider via phone number 8034341210 and fax number 8034341212. The mailing address for Charles David Petit is 3010 Farrow Rd, Columbia, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Charles David Petit
Address 3010 Farrow Rd, Columbia, South Carolina
Phone Number 8034341210
Fax Number 8034341212
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1205805215
Provider Enumeration Date 2006-03-14
Last Updated Date 2013-02-01

Provider Mailing Address Detail

Address 3010 Farrow Rd
City Columbia
State South Carolina (SC)
Post Code 292037607
Phone Number 8034341210
Fax Number 8034341212

Provider's Primary Taxonomy Detail

Speciality Geriatric Medicine
Taxonomy 207Qg0300X
Licence No 13746
Definition:
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
137462 SC --

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FAQs about Charles David Petit

What is the unique 10-digit identifier code issued to Charles David Petit by the Centers for Medicare & Medicaid Services?

The Charles David Petit has been assigned the NPI (National Provider Identifier) 1205805215 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Charles David Petit's physical address?

The Charles David Petit is physically located at 3010 Farrow Rd, in the city of Columbia, SC, with the postal code 292037607.

What is the Charles David Petit's specialty and taxonomy code?

The Charles David Petit's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Qg0300X.

On what date did the Centers for Medicare & Medicaid Services issue the 1205805215 to Charles David Petit?

The Charles David Petit received its 1205805215 assignment from the Centers for Medicare & Medicaid Services on 2006-03-14.

As of what date were the details related to Charles David Petit most recently updated or revised?

The information pertaining to Charles David Petit, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-01.

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