Individual
ERIN PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3631 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5702
(228) 875-2020
(228) 875-2036
Mailing address
3631 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-5702
(228) 875-2020
(228) 875-2036
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
27698
MS
207W00000X
Ophthalmology Physician
T-3405
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2017
Last updated
03/04/2021
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