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1427242239
TINA M MITTERLING
CONWAY, SC
NPI
1427242239
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: SC 1235)
Enumeration Date
2007-09-05
Last Update Date
2024-10-08
Business Address
TINA M MITTERLING PA-C
2367B CYPRESS CIR
CONWAY, SC 29526-8921
Phone number: 843-349-1001
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Mailing Address
TINA M MITTERLING PA-C
300 SINGLETON RIDGE RD ATTN PNS CREDENTIALING
CONWAY, SC 29526-9142
Phone number: 843-234-6946
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