person
Aziz Petiwala, ACNP
Gerontology Nurse Practitioner in Columbia, South Carolina
NPI 1417560889

Aziz Petiwala is a Gerontology Nurse Practitioner based in Atlanta, SC and is specialized in Gerontology. Aziz Petiwala practices in Columbia, SC and has the professional credentials of ACNP. The NPI Number for Aziz Petiwala is 1417560889 and holds a License No. 23959 (South Carolina).

The current practice location address for Aziz Petiwala is 8 Richland Medical Park Dr Ste 100, Columbia, SC and can be reached out via phone at 803-256-6511.

Location: 8 Richland Medical Park Dr Ste 100, Columbia, SC, 30374-3904
person
Provider Profile Details
NPI Number
1417560889
Provider Name
Aziz Petiwala
Credential
ACNP
Provider Entity Type
Individual
Gender
Male
Address
8 Richland Medical Park Dr Ste 100, Columbia, SC, 30374-3904
Phone Number
803-256-6511
Fax Number
Provider Enumeration Date
08/26/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP7037 05 SC
institution
Provider Business Practice Location Address Details
Address
8 Richland Medical Park Dr Ste 100
City
State
Zip
29203-8006
Phone Number
803-256-6511
Fax Number
person
Provider Business Mailing Address Details
Address
8 Richland Medical Park Dr Ste 100
City
State
Zip
29203-8006
Phone Number
803-256-6511
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
23959 (South Carolina)
Definition
Definition to come...
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