Organization
WESTERN CAROLINA CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W PETERSON M.D. (PARTNER)
(828) 564-9222
Entity
Organization
Contact information
Practice address
32 PHYSICIAN DR, CLYDE, NC 28721-8486
(828) 564-9222
(828) 564-9228
Mailing address
32 PHYSICIAN DR, CLYDE, NC 28721-8486
(828) 564-9222
(828) 564-9228
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
200000225
NC
174400000X
Specialist
200200031
NC
174400000X
Specialist
Primary
9801441
NC
207RC0000X
Cardiovascular Disease Physician
2009-01377
NC
363L00000X
Nurse Practitioner
0050-02618
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900317
—
NC
05
—
89126HP
—
NC
05
—
89130MM
—
NC
Enumeration date
06/16/2006
Last updated
11/10/2009
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