NPI 1013341627

Elizabeth G Petty

Practitioner Licensed Practical Nurse Roebuck, SC

Practice location

Address: 2401 E Blackstock Rd, Roebuck, SC 29376-3206
Phone: (864) 576-6151
Fax: (864) 595-2429

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence P13063 (SC)

Other Licensed Practical Nurse providers in South Carolina →

Registry record

NPI: 1013341627
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Aug 2013
Record last updated: 30 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.