Petit, Charles David

Petit, Charles David is an individual health care provider with primary practice located at 3010 Farrow Rd Suite 300, Columbia SC 29203-7607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Petit, Charles David can be contacted via phone (803) 434-1210.

Contact Information

Primary practice address
3010 Farrow Rd Suite 300 Columbia SC 29203-7607
Phone: (803) 434-1210
Fax: (803) 434-1212
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 13746 South Carolina

Profile Details

NPI number 1205805215
LBN Legal business name Petit, Charles David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Feb 1st, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205805215 NPPES
South Carolina MEDICAID 137462

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