NPI 1154339695

Stephanie H Tetterton, PA

Practitioner Otolaryngology Physician Lugoff, SC

Practice location

Address: 15 Exchange Dr, Lugoff, SC 29078-9198
Phone: (803) 408-3277
Fax: (803) 408-3282
Mailing address: PO Box 520, Lugoff, SC 29078-0520

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 860 (SC)

Other Otolaryngology providers in South Carolina →

Registry record

NPI: 1154339695
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Aug 2006
Record last updated: 22 Sep 2011

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.