Tamara Peterson
NPI #1366853756 in Columbia, South Carolina
Provider Information
- NPI Number
- 1366853756
- Entity Type
- Individual
- Name
- Tamara Peterson
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Enumeration Date
- May 19, 2014
- Last Updated
- May 19, 2014
Practice Location
- Address
- 220 CLIVE ST
- City
- Columbia
- State
- South Carolina
- ZIP Code
- 29204-3021
- Phone
- (803) 530-5314
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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