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Andrew T Otto, PA-C
Surgical Physician Assistant in Greenville, South Carolina
NPI 1093726648

Andrew T Otto is a Surgical Physician Assistant based in Greenville, SC and is specialized in Surgical. Andrew T Otto practices in Greenville, SC and has the professional credentials of PA-C. The NPI Number for Andrew T Otto is 1093726648 and holds a License No. 843 (South Carolina).

The current practice location address for Andrew T Otto is 200 Patewood Dr Ste C100, Greenville, SC and can be reached out via phone at 864-454-7422.

Location: 200 Patewood Dr Ste C100, Greenville, SC, 29615-4545
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093726648
Provider Name
Andrew T Otto
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
200 Patewood Dr Ste C100, Greenville, SC, 29615-4545
Phone Number
864-454-7422
Fax Number
Provider Enumeration Date
08/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0313PA 05 SC
institution
Provider Business Practice Location Address Details
Address
200 Patewood Dr Ste C100
City
Greenville
State
South Carolina
Zip
29615-6322
Phone Number
864-454-7422
Fax Number
person
Provider Business Mailing Address Details
Address
200 Patewood Dr Ste C100
City
Greenville
State
South Carolina
Zip
29615-6322
Phone Number
864-454-7422
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
843 (South Carolina)
Definition
Definition to come...
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