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Contact Information

NICHOLAS PETRI, DO
96 JONATHAN LUCAS CSB 210, MSC 323
CHARLESTON, SC29425-6173
 Phone: 843-792-1767
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Military Health Care Provider

171000000X
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NICHOLAS PETRI · (Male)

NPI Number 1144859729
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/06/2020
Last updated 06/10/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • SC License # 83718
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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