AZIZ PETIWALA

COLUMBIA, SC
NPI1417560889
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: SC  23959)
Enumeration Date2020-08-26
Last Update Date2020-10-21
Business Address
AZIZ PETIWALA ACNP
8 RICHLAND MEDICAL PARK DR STE 100
COLUMBIA, SC 29203-8006
Phone number: 803-256-6511
Mailing Address
AZIZ PETIWALA ACNP
PO BOX 743904
ATLANTA, GA 30374-3904
Phone number: 803-296-7320
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