Individual
DONALD WALTER PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28608
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203711000
—
WV
01
—
260050043
RR MEDICARE
—
01
—
29247
MEDCOST
—
01
—
4757
PARTNERS
—
01
—
5457218
AETNA
—
01
—
67165
BCBS
—
05
—
7140291
—
VA
05
—
8967165
—
NC
05
—
Q28608
—
SC
Enumeration date
12/02/2005
Last updated
04/02/2015
Update your record
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