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1164753430
JOSEPH C. MCTAVISH
CHARLESTON, SC
NPI
1164753430
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: SC 1502)
Enumeration Date
2010-01-26
Last Update Date
2021-06-28
Business Address
Mr. JOSEPH C. MCTAVISH PA
2145 HENRY TECKLENBURG DR SUITE 220
CHARLESTON, SC 29414-5893
Phone number: 843-723-8823
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Mailing Address
Mr. JOSEPH C. MCTAVISH PA
PO BOX 751649
CHARLOTTE, NC 28275-1649
Phone number: 843-789-1620
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