KATIE MARIE TETANICH

COLUMBIA, SC
NPI1568115343
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: SC  4319)
Enumeration Date2022-02-01
Last Update Date2022-02-23
Business Address
KATIE MARIE TETANICH PA-C
121 PARK CENTRAL DR STE 200
COLUMBIA, SC 29203-6476
Phone number: 803-252-9907
Mailing Address
KATIE MARIE TETANICH PA-C
121 PARK CENTRAL DR STE 200
COLUMBIA, SC 29203-6476
Phone number: 803-252-9907
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