Individual
GRETA M PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1318 DURST AVE EAST BOXWOOD APT A6, GREENWOOD, SC 29649
(864) 337-2780
Mailing address
1318 DURST AVE EAST BOXWOOD APT A6, GREENWOOD, SC 29649
(864) 337-2780
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
242282
SC
Other
Enumeration date
04/14/2021
Last updated
04/14/2021
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