Individual
PATRICK LEE NETTLES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12 W SOUTH ST, MANNING, SC 29102-2925
(803) 433-4124
(803) 433-0074
Mailing address
360 N IRBY ST, FLORENCE, SC 29501-2808
(843) 667-9414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3740
SC
Other
Enumeration date
11/04/2020
Last updated
07/17/2024
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