Individual
MRS. CASSIE HIPP PETTIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1951 RIVEROAK RD, CHESNEE, SC 29323-9620
(864) 253-5704
(864) 253-5757
Mailing address
1951 RIVEROAK RD, CHESNEE, SC 29323-9620
(864) 253-5704
(864) 253-5757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
62286
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285684910
—
SC
Enumeration date
05/01/2013
Last updated
05/01/2013
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