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Tina M Mitterling, PA-C
Medical Physician Assistant in Conway, South Carolina
NPI 1427242239

Tina M Mitterling is a Medical Physician Assistant based in Conway, SC and is specialized in Medical. Tina M Mitterling practices in Conway, SC and has the professional credentials of PA-C. The NPI Number for Tina M Mitterling is 1427242239 and holds a License No. 1235 (South Carolina).

The current practice location address for Tina M Mitterling is 2367B Cypress Cir, Conway, SC and can be reached out via phone at 843-349-1001 and via fax at 843-349-1008.

Location: 2367B Cypress Cir, Conway, SC, 29526-9142
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Provider Profile Details
NPI Number
1427242239
Provider Name
Tina M Mitterling
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2367B Cypress Cir, Conway, SC, 29526-9142
Phone Number
843-349-1001
Fax Number
843-349-1008
Provider Enumeration Date
09/05/2007
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0595PA 05 SC
3025372 05 OH
0077981 05 OH
institution
Provider Business Practice Location Address Details
Address
2367B Cypress Cir
City
State
Zip
29526-8921
Phone Number
843-349-1001
Fax Number
843-349-1008
person
Provider Business Mailing Address Details
Address
2367B Cypress Cir
City
State
Zip
29526-8921
Phone Number
843-349-1001
Fax Number
843-349-1008
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
1235 (South Carolina)
Definition
Definition to come...
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