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Individual

ASHLEY ROXANNE PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
209 ABBEVILLE AVE NW, AIKEN, SC 29801-3923
(803) 306-1433
(803) 632-1209
Mailing address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
(803) 259-3250

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
87776
SC

Other

Enumeration date
03/21/2019
Last updated
01/02/2024
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