Individual provider · Type 1 NPI

Andrew T. Otto, PA-C

Surgical Physician Assistant · Greenville, SC

NPI number 1093726648 Active

Practice location

200 Patewood Dr Ste C100
Greenville, SC 29615-6322

Call (864) 454-7422 Map

Mailing address

1 Independence Pt, Suite 212
Greenville, SC 29615-4545

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X843 (SC)

Surgical Physician Assistant: Definition to come...

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About NPI 1093726648

Andrew T. Otto, PA-C's National Provider Identifier is 1093726648, issued on Aug 10, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Greenville, SC. The record was last updated on Apr 20, 2017.