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1437799954
KEITH ALEX PETTIGREW
FLORENCE, SC
NPI
1437799954
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-01-13
Last Update Date
2020-03-24
Business Address
KEITH ALEX PETTIGREW PA
1204 E CHEVES ST
FLORENCE, SC 29506-2710
Phone number: 843-673-0122
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Mailing Address
KEITH ALEX PETTIGREW PA
1204 E CHEVES ST
FLORENCE, SC 29506-2710
Phone number: 843-673-0122
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