Organization
JOHN L PETERSON MD
Active
Other names
Waverly Hematology Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
MEGHAN KELLY (OFFICE MANAGER RN)
(919) 233-8585
Entity
Organization
Contact information
Practice address
300 ASHVILLE AVE, SUITE 310, CARY, NC 27518-8682
(919) 233-8585
(919) 233-8566
Mailing address
300 ASHVILLE AVE, SUITE 310, CARY, NC 27518-8682
(919) 233-8585
(919) 233-8566
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
39812
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89016H4
—
NC
Enumeration date
07/21/2005
Last updated
08/22/2020
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