Individual provider · Type 1 NPI

Matthew Seth Petitt, MD

Student in an Organized Health Care Education/Training Program · Orangeburg, SC

NPI number 1295428944 Active

Practice location

910 Cook Rd
Orangeburg, SC 29118-2124

Mailing address

3012 Colonial Ridge Dr
Brandon, FL 33511-7643

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295428944

Matthew Seth Petitt, MD's National Provider Identifier is 1295428944, issued on May 30, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Orangeburg, SC. The record was last updated on May 30, 2023.