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1518986637
CONWAY PEDIATRICS,PA
CONWAY, SC
NPI
1518986637
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Entity Type
Organization
Authorized Contact
THOMAS PETRUSICK
Doctor
843-248-2727
Organization Subpart ?
No
Primary Taxonomy
173000000X Legal Medicine
(Licence: SC 4548)
Enumeration Date
2006-07-19
Last Update Date
2014-02-20
Business Address
CONWAY PEDIATRICS,PA
907 BELL ST
CONWAY, SC 29526-4113
Phone number: 843-248-2727
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Mailing Address
CONWAY PEDIATRICS,PA
907 BELL ST
CONWAY, SC 29526-4113
Phone number: 843-248-2727
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