Individual
PETER ZAWASKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CAC II
Contact information
Practice address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(843) 903-6212
(843) 903-5432
Mailing address
104 GEORGE BISHOP PKWY, MYRTLE BEACH, SC 29579-7335
(843) 903-6212
(843) 903-5432
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1703288
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1703288
SCAADAC
SC
Enumeration date
12/28/2018
Last updated
12/28/2018
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