Linda Joyce Petrusick in Georgetown - Pediatrics
Linda Joyce Petrusick - NPI 1588846166
Linda Joyce Petrusick is a Pediatrics in Georgetown, South Carolina. Linda Joyce Petrusick practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Linda Joyce Petrusick is 1588846166. The last update date is 2007-12-05.
Linda Joyce Petrusick's current location address is 57 Jessamine Street Po Box 618, Georgetown, South Carolina. You can contact this provider via phone number 8435468686 and fax number 8435461353. The mailing address for Linda Joyce Petrusick is 57 Jessamine Street Po Box 618, Georgetown, South Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Linda Joyce Petrusick |
|---|---|
| Address | 57 Jessamine Street Po Box 618, Georgetown, South Carolina |
| Phone Number | 8435468686 |
| Fax Number | 8435461353 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1588846166 |
|---|---|
| Provider Enumeration Date | 2007-12-05 |
| Last Updated Date | 2007-12-05 |
Provider Mailing Address Detail
| Address | 57 Jessamine Street Po Box 618 |
|---|---|
| City | Georgetown |
| State | South Carolina (SC) |
| Post Code | 29442 |
| Phone Number | 8435468686 |
| Fax Number | 8435461353 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | P2239 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
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Post Comment/ Review Below
What is the unique identifier code issued to Linda Joyce Petrusick by the Centers for Medicare & Medicaid Services (CMS)?
The Linda Joyce Petrusick has been assigned the NPI (National Provider Identifier) 1588846166. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Linda Joyce Petrusick located?
The Linda Joyce Petrusick is located at 57 Jessamine Street Po Box 618, Georgetown, SC 29442.
What is Linda Joyce Petrusick's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Linda Joyce Petrusick's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 363Lp0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1588846166 to Linda Joyce Petrusick?
The Centers for Medicare & Medicaid Services assigned the 1588846166 to Linda Joyce Petrusick on 2007-12-05.
As of what date was the information regarding Linda Joyce Petrusick, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Linda Joyce Petrusick, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-12-05.
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