Individual
ALYSSA PETRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
851 LEONARD FULGHUM DR, STE. 201, MOUNT PLEASANT, SC 29464-3793
(843) 884-5133
Mailing address
851 LEONARD FULGHUM DR, SUITE 201, MOUNT PLEASANT, SC 29464-3793
(843) 884-5133
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
20746
SC
Other
Enumeration date
02/07/2017
Last updated
03/15/2017
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