Individual
PETER RAMBO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGPCNP-BC
Contact information
Practice address
637 BELLAMY AVE UNIT C, MURRELLS INLET, SC 29576-6472
(800) 965-8482
Mailing address
39 KUNKLE RD, SILVERSTREET, SC 29145-9216
(803) 944-6458
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
25160
SC
363LG0600X
Gerontology Nurse Practitioner
25160
SC
363LP2300X
Primary Care Nurse Practitioner
Primary
25160
SC
363LP2300X
Primary Care Nurse Practitioner
5015957
NC
Other
Enumeration date
07/20/2021
Last updated
04/04/2022
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