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Individual

SITAL JETHWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
704 GOLD HILL RD, SUITE 207, FORT MILL, SC 29715-8906
(803) 802-5900
Mailing address
704 GOLD HILL RD, FORT MILL, SC 29715-8906

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2017-01892
NC
208000000X
Pediatrics Physician
37430
SC

Other

Enumeration date
04/30/2011
Last updated
11/08/2018
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