Individual
DR. CAROL V PETILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4318 E NORTH ST, GREENVILLE, SC 29615-2425
(864) 655-8300
(864) 603-1555
Mailing address
4318 E NORTH ST, GREENVILLE, SC 29615-2425
(864) 655-8300
(864) 603-1555
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
3886
SC
231H00000X
Audiologist
Primary
7312
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1618R
BCBSNC
NC
01
—
30111366
SELECT HEALTH OF SOUTH CAROLINA
SC
01
—
5939044
CIGNA
NC
05
—
7413356
—
NC
01
—
770333
WELLCARE
—
01
—
9873230
AETNA
NC
01
—
P01044436
RAILROAD MEDICARE
SC
01
—
P01450607
RAILROAD MEDICARE
NC
05
—
SA1085
—
SC
Enumeration date
03/27/2008
Last updated
07/24/2025
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