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1376322172
TERI KAYE PETTAWAY
SUMTER, SC
NPI
1376322172
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Former Name
TERI KAYE MONTGOMERY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: SC 28655)
Enumeration Date
2023-09-22
Last Update Date
2024-05-28
Business Address
TERI KAYE PETTAWAY NP
129 N WASHINGTON ST
SUMTER, SC 29150-4949
Phone number: 803-774-9000
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Mailing Address
TERI KAYE PETTAWAY NP
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number: 864-695-6697
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