Individual
DR. PETER SCOTT CARNOHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14 MEDICAL PARK DRIVE, SUITE 320, COLUMBIA, SC 29203-6896
(803) 434-6771
(803) 434-3955
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22695
SC
208M00000X
Hospitalist Physician
Primary
22695
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179434
—
SC
01
—
P01721425
MEDICARE RR PIN
SC
Enumeration date
06/15/2005
Last updated
03/15/2018
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