Individual
MARCO ANTONIO PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2727 SOUTH BLVD, CHARLOTTE, NC 28209-1109
(704) 521-1389
(704) 527-3687
Mailing address
2727 SOUTH BLVD, CHARLOTTE, NC 28209-1109
(704) 521-1389
(704) 527-3687
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2998
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085G9
BCBS
NC
05
—
89085G9
—
NC
Enumeration date
07/21/2006
Last updated
11/13/2007
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