# W PETTIGREW CLARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932223179
- **Authorized official:** DR. WILLIAM PETTIGREW CLARE MD (OWNER)
- **Authorized official phone:** (843) 762-3550

## Contact information

- **Practice address:** 1155 FORT LAMAR RD, CHARLESTON, SC 29412-9683
- **Practice address phone:** (843) 762-3550
- **Practice address fax:** (843) 795-8945
- **Mailing address:** 1155 FORT LAMAR RD, CHARLESTON, SC 29412-9683
- **Mailing address phone:** (843) 762-3550
- **Mailing address fax:** (843) 795-8945

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 5058 | SC | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 08/22/2020