Individual
DR. CARL EDWARD PETRILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-6789
Mailing address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS17415
FL
Other
Enumeration date
06/11/2019
Last updated
11/10/2025
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