Individual
MRS. TERESA A PETTIGREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
126 NEW PROSPECT CHURCH RD, ANDERSON, SC 29625-5044
(864) 260-5195
Mailing address
126 NEW PROSPECT CHURCH RD, ANDERSON, SC 29625-5044
(864) 260-5195
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
23625
SC
Other
Enumeration date
12/12/2016
Last updated
12/12/2016
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