DR. Baley Petersen, O.D.

NPI #1043569858 in Mount Pleasant, South Carolina

Provider Information

NPI Number
1043569858
Entity Type
Individual
Name
DR. Baley Petersen, O.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Sep 7, 2012
Last Updated
Aug 7, 2013

Practice Location

Address
966 HOUSTON NORTHCUTT BLVD
Address 2
SUITE D
ZIP Code
29464-3487
Phone
(843) 881-2492

Specialties & Taxonomy Codes

Specialty
Optometrist

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