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1093726648
ANDREW T OTTO
GREENVILLE, SC
NPI
1093726648
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: SC 843)
Enumeration Date
2006-08-10
Last Update Date
2017-04-20
Business Address
-- ANDREW T OTTO PA-C
200 PATEWOOD DR STE C100
GREENVILLE, SC 29615-6322
Phone number: 864-454-7422
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Mailing Address
-- ANDREW T OTTO PA-C
1 INDEPENDENCE PT SUITE 212
GREENVILLE, SC 29615-4545
Phone number: 864-797-6328
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