Individual
SARA ROSE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1175 COOK RD, SUITE 320, ORANGEBURG, SC 29118
(803) 395-3900
Mailing address
PO BOX 23321, NEW YORK, NY 10087
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
08/28/2024
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