Dr. Charles David Petit
Family Doctor - Geriatric Medicine
3010 Farrow Rd Suite 300
Columbia
, South Carolina 29203-7607
Dr. Charles David Petit
Family Doctor - Geriatric Medicine
3010 Farrow Rd Suite 300
Columbia
, South Carolina 29203-7607
(803) 296-7330
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Charles David Petit
- Po Box 402145
- Atlanta, GA
- Zip : 30384-2145
- Fax : (803) 296-7330
- Phone : (803) 296-7305
Second Address
- Dr. Charles David Petit
- 3010 Farrow Rd Suite 300
- Columbia, SC
- Zip : 29203-7607
- Fax : (803) 434-1212
- Phone : (803) 434-1210
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 13746 | SC |
National Provider Identifier
| NPI | 1205805215 |
|---|---|
| Provider Name | Dr. Charles David Petit |
| First Address | Atlanta, GA 30384-2145 |
| Second Address | Columbia, SC 29203-7607 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2006 |
| Last Update Date | 01/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 137462 | (05) | SC |
| C31219 | (02) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.