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JESSICA DIPIETRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
316 CALHOUN ST, CHARLESTON, SC 29401
(843) 724-2010
(843) 724-1953
Mailing address
PO BOX 601495, CHARLOTTE, NC 28260-1495
(843) 789-1620
(843) 724-2454

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA056602
PA

Other

Enumeration date
12/05/2013
Last updated
02/19/2020
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