Conway Pediatrics,pa
NPI #1518986637 in Conway, South Carolina
Provider Information
- NPI Number
- 1518986637
- Entity Type
- Organization
- Organization Name
- Conway Pediatrics,pa
- Primary Specialty
- Legal Medicine
- Enumeration Date
- Jul 19, 2006
- Last Updated
- Feb 20, 2014
Practice Location
- Address
- 907 BELL ST
- City
- Conway
- State
- South Carolina
- ZIP Code
- 29526-4113
- Phone
- (843) 248-2727
Authorized Official
- Name
- DR. THOMAS PETRUSICK, MD
- Title
- DOCTOR
- Phone
- (843) 248-2727
Specialties & Taxonomy Codes
| Specialty |
|---|
| Legal Medicine |
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