Marlisa S Peterson, PA-C

NPI #1891191409 in Sumter, South Carolina

Provider Information

NPI Number: 1891191409
Entity Type: Individual
Name: Marlisa S Peterson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 10, 2014
Last Updated: Nov 10, 2014

Practice Location

Address: 325 W LIBERTY ST
City: Sumter
State: South Carolina
ZIP Code: 29150-5139
Phone: (803) 774-7000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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