person
Katie Marie Tetanich, PA-C
Medical Physician Assistant in Columbia, South Carolina
NPI 1568115343

Katie Marie Tetanich is a Medical Physician Assistant based in Columbia, SC and is specialized in Medical. Katie Marie Tetanich practices in Columbia, SC and has the professional credentials of PA-C. The NPI Number for Katie Marie Tetanich is 1568115343 and holds a License No. 4319 (South Carolina).

The current practice location address for Katie Marie Tetanich is 121 Park Central Dr Ste 200, Columbia, SC and can be reached out via phone at 803-252-9907 and via fax at 803-252-9906.

Location: 121 Park Central Dr Ste 200, Columbia, SC, 29203-6476
person
Provider Profile Details
NPI Number
1568115343
Provider Name
Katie Marie Tetanich
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
121 Park Central Dr Ste 200, Columbia, SC, 29203-6476
Phone Number
803-252-9907
Fax Number
803-252-9906
Provider Enumeration Date
02/01/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
121 Park Central Dr Ste 200
City
State
Zip
29203-6476
Phone Number
803-252-9907
Fax Number
803-252-9906
person
Provider Business Mailing Address Details
Address
121 Park Central Dr Ste 200
City
State
Zip
29203-6476
Phone Number
803-252-9907
Fax Number
803-252-9906
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
4319 (South Carolina)
Definition
Definition to come...
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