Individual
KATHRYN PETERSEN-THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
853 N CHURCH ST STE 510, SPARTANBURG, SC 29303-3077
(864) 560-6193
Mailing address
430 RISEN STAR DR, BOILING SPRINGS, SC 29316-8004
(435) 592-9631
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LL82955
SC
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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