Thomas William Petrusick in Myrtle Beach - Pediatrics
Thomas William Petrusick - NPI 1942266788
Thomas William Petrusick is a Pediatrics in Myrtle Beach, South Carolina. Thomas William Petrusick practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Thomas William Petrusick is 1942266788. The last update date is 2015-07-29.
Thomas William Petrusick's current location address is 8120 Rourk St, Myrtle Beach, South Carolina. You can contact this provider via phone number 8434491438 and fax number 8432861349. The mailing address for Thomas William Petrusick is 8120 Rourk St, Myrtle Beach, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas William Petrusick |
|---|---|
| Address | 8120 Rourk St, Myrtle Beach, South Carolina |
| Phone Number | 8434491438 |
| Fax Number | 8432861349 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1942266788 |
|---|---|
| Provider Enumeration Date | 2006-04-21 |
| Last Updated Date | 2015-07-29 |
Provider Mailing Address Detail
| Address | 8120 Rourk St |
|---|---|
| City | Myrtle Beach |
| State | South Carolina (SC) |
| Post Code | 295724127 |
| Phone Number | 8434491438 |
| Fax Number | 8432861349 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 7085 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 570783896 | SC | FED TAX ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Thomas William Petrusick by the Centers for Medicare & Medicaid Services?
The Thomas William Petrusick has been issued the NPI (National Provider Identifier) 1942266788, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Thomas William Petrusick is geographically located?
The Thomas William Petrusick is physically situated at the following location: 8120 Rourk St, Myrtle Beach, SC, 295724127.
What is Thomas William Petrusick's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Thomas William Petrusick is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did the Thomas William Petrusick receive the assignment of its 1942266788 from the Centers for Medicare & Medicaid Services?
The Thomas William Petrusick was issued its 1942266788 by the Centers for Medicare & Medicaid Services on 2006-04-21.
As of what date were the Thomas William Petrusick's details last updated?
The information pertaining to the Thomas William Petrusick, including its address, specialty, and other details, was most recently updated on 2015-07-29.
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