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LINDA JOYCE PETRUSICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
57 JESSAMINE STREET, GEORGETOWN, SC 29442
(843) 546-8686
(843) 546-1353
Mailing address
57 JESSAMINE STREET PO BOX 618, GEORGETOWN, SC 29442
(843) 546-8686
(843) 546-1353

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
P2239
SC

Other

Enumeration date
12/05/2007
Last updated
12/05/2007
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