Individual
MARK C PETTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3578 TOOMER KILN CIR, MT PLEASANT, SC 29466-9260
(843) 884-4810
Mailing address
138 PATRICIA AVE, DALTON, MA 01226-2045
(413) 684-2305
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
28214
SC
Other
Enumeration date
09/29/2005
Last updated
07/08/2007
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