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Individual

KAYLA PETERSON TAVERNIER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
901 W GREENWOOD ST STE 1, ABBEVILLE, SC 29620-5727
(864) 366-9681
Mailing address
901 W GREENWOOD ST, SUITE 9, ABBEVILLE, SC 29620-5717
(864) 366-9681

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2419
SC

Other

Enumeration date
10/01/2015
Last updated
01/06/2023
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