Individual
DR. NANNETTE MARIE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
279 N GROVE MEDICAL PARK DR, SPARTANBURG, SC 29303-4222
(864) 582-7025
(864) 583-5715
Mailing address
27 RABON VALLEY ACRES RD, FOUNTAIN INN, SC 29644-8605
(864) 582-7025
(864) 583-5715
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS7768
FL
Other
Enumeration date
08/15/2006
Last updated
03/24/2017
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