Search › South Carolina › 363A00000X
Nicholas Petrus, PA-C
NPI 1588212088 · on the registry since 2019
Practice
- Address
- 22580 Highway 76 E
Laurens, SC 29360 - Phone
- (864) 939-1070
- Organisation at this address
- Self Medical Group
Self Medical Group
Self Medical Group
Self Medical Group
Self Regional HealthcareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 2498 N Pleasantburg Dr, Greenville, SC
- 7915 Old Percival Rd, Columbia, SC
- 14 Richland Medical Park Dr Ste 350, Columbia, SC
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-07-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina