Individual
DR. NICHOLAS PETRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
96 JONATHAN LUCAS CSB 210, MSC 323, CHARLESTON, SC 29425-6173
(843) 792-1767
Mailing address
1765 CORNSILK DR, CHARLESTON, SC 29414-8018
(919) 280-1299
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
83718
SC
2085R0202X
Diagnostic Radiology Physician
Primary
83718
SC
208D00000X
General Practice Physician
83718
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2020
Last updated
06/10/2025
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