Individual
DR. MATTHEW SETH PETITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
910 COOK RD, ORANGEBURG, SC 29118-2124
(803) 534-2328
Mailing address
3012 COLONIAL RIDGE DR, BRANDON, FL 33511-7643
(813) 260-0992
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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