Individual
DR. ROBERT WINCEL PETTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, DC, PHD
Contact information
Practice address
254 CATAWBA RIVER RD, MYRTLE BEACH, SC 29588-7484
(843) 603-9013
Mailing address
254 CATAWBA RIVER RD, MYRTLE BEACH, SC 29588-7484
(843) 603-9013
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1968
SC
Other
Enumeration date
06/02/2008
Last updated
07/09/2008
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