Individual
ABIGAIL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PA-C
Contact information
Practice address
5345 ATLANTA HWY, MONTGOMERY, AL 36109-3323
(334) 386-7300
Mailing address
1515 E COLUMBIA ST, OTHELLO, WA 99344-1846
(509) 488-5256
(509) 488-9939
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA61574941
WA
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
08/06/2026
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