THOMAS WILLIAM PETRUSICK

MYRTLE BEACH, SC
NPI1942266788
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: SC  7085)
Enumeration Date2006-04-21
Last Update Date2015-07-29
Business Address
Ms. THOMAS WILLIAM PETRUSICK MD
8120 ROURK ST
MYRTLE BEACH, SC 29572-4127
Phone number: 843-449-1438
Mailing Address
Ms. THOMAS WILLIAM PETRUSICK MD
8120 ROURK ST
MYRTLE BEACH, SC 29572-4127
Phone number: 843-449-1438
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