Individual
MRS. MARY CHARLOTTE PISCITELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
35 BILL FRIES DR, BUILDING J, HILTON HEAD, SC 29926-2730
(843) 681-2222
(843) 681-2541
Mailing address
35 BILL FRIES DR, BUILDING J, HILTON HEAD, SC 29926-2730
(843) 681-2222
(843) 681-2541
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R79761
SC
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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