Individual
MR. PETER WOOD WHITSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
114 GATEWAY CORPORATE BLVD, SUITE 120, COLUMBIA, SC 29203-9740
(803) 509-7200
(803) 509-7213
Mailing address
114 GATEWAY CORPORATE BLVD, SUITE 120, COLUMBIA, SC 29203-9740
(803) 509-7200
(803) 509-7213
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3436
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SA0665
—
SC
Enumeration date
01/24/2007
Last updated
08/19/2010
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