Stephanie C Peterson, PA

NPI #1770708232 in Irmo, South Carolina

Provider Information

NPI Number: 1770708232
Entity Type: Individual
Name: Stephanie C Peterson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Apr 17, 2007
Last Updated: Jun 19, 2024

Practice Location

Address: 7182 WOODROW ST STE 200
City: Irmo
State: South Carolina
ZIP Code: 29063-2958
Phone: (803) 749-1111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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