| William I. Petty Ii, M.d., Llc | |
|
460 William Hilton Pkwy Hilton Head Island SC 29926-2497 | |
| (843) 338-6578 | |
| Not Available |
| Full Name | William I. Petty Ii, M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 460 William Hilton Pkwy, Hilton Head Island, South Carolina |
| Authorized Official Name and Position | William I Petty (PHYSICIAN) |
| Authorized Official Contact | 8433386578 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William I. Petty Ii, M.d., Llc Po Box 24036 Hilton Head Island SC 29925-4036 Ph: (843) 338-6578 | William I. Petty Ii, M.d., Llc 460 William Hilton Pkwy Hilton Head Island SC 29926-2497 Ph: (843) 338-6578 |
| NPI Number | 1164849543 |
|---|---|
| Provider Enumeration Date | 03/24/2014 |
| Last Update Date | 03/24/2014 |
| Medicare PECOS PAC ID | 5799901120 |
|---|---|
| Medicare Enrollment ID | O20140721002395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164849543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 19763 (South Carolina) | Primary |
| Provider Name | William I Petty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871687665 PECOS PAC ID: 2062670318 Enrollment ID: I20120223000601 |
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