Individual
ANDREA MICHELLE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1375 HOSPITAL DR, MOUNT PLEASANT, SC 29464-3254
(843) 405-9918
Mailing address
1375 HOSPITAL DR, MOUNT PLEASANT, SC 29464-3254
(843) 405-9918
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
87872
SC
207VE0102X
Reproductive Endocrinology Physician
93452
GA
207VG0400X
Gynecology Physician
87872
SC
207VG0400X
Gynecology Physician
93452
GA
Other
Enumeration date
04/06/2016
Last updated
06/19/2024
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