Individual
MARK S PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
534 BILTMORE AVENUE, ASHEVILLE, NC 28801-4612
(828) 213-0594
(828) 213-0590
Mailing address
PO BOX 2679, ASHEVILLE, NC 28802-2679
(828) 213-0594
(828) 213-0590
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
102005
NC
Other
Enumeration date
01/04/2007
Last updated
04/17/2012
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