Individual
MS. STEPHANIE JO PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR, SUITE 230, COLUMBIA, SC 29203-6859
(803) 434-7990
Mailing address
1702 HUNTERS RUN DR, MT PLEASANT, SC 29464-7708
(843) 364-4372
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
877167
—
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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