Ms. Thomas William Petrusick
MD | Pediatrics | Male
Ms. Thomas William Petrusick, MD is a Myrtle Beach, South Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Ms. Thomas William Petrusick is
8120 Rourk St, Myrtle Beach, South Carolina - 29572-4127. He can be contacted on phone at
843-449-1438 and fax number 843-286-1349.
Ms. Thomas William Petrusick is a sole proprietor of his business.
NPI number (Unique professional ID) for Ms. Thomas William Petrusick is
1942266788 which was assigned by NPPES on 21 Apr, 2006 and it was last updated on 29 Jul, 2015.
Ms. Thomas William Petrusick license number is
7085 for Pediatrics (208000000X) in South Carolina.
Ms. Thomas William Petrusick is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Ms. Thomas William Petrusick basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Ms. Thomas William Petrusick |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Ms. Thomas William Petrusick address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 8120 Rourk St
Myrtle Beach, SC, 29572-4127
United States |
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| Phone Number : | 843-449-1438 |
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| Fax Number : | 843-286-1349 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1942266788 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Apr, 2006 |
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| Last Updated On : | 29 Jul, 2015 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Thomas William Petrusick are as mentioned. Primary taxonomy code for Ms. Thomas William Petrusick, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 7085 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Ms. Thomas William Petrusick such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 570783896 | Other | SC | FED TAX ID |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 8120 Rourk St
Myrtle Beach, SC, 29572-4127
United States |
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| Phone Number : | 843-449-1438 |
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| Fax Number : | 843-286-1349 |
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Business Location:
Patients can refer following map for directions to
Ms. Thomas William Petrusick practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.