Individual provider · Type 1 NPI

Nicole Perrin Ketchin, PAC

Medical Physician Assistant · Mount Pleasant, SC

NPI number 1093741613 Active

Practice location

180 Wingo Way, Suite 307
Mount Pleasant, SC 29464-1810

Call (843) 884-1777 Map

Mailing address

PO Box 751649
Charlotte, NC 28275-1649

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1073 (SC)

Medical Physician Assistant: Definition to come...

44 other providers at this address

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About NPI 1093741613

Nicole Perrin Ketchin, PAC's National Provider Identifier is 1093741613, issued on Jun 24, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Mount Pleasant, SC. The record was last updated on Oct 20, 2015.