Individual
JON K PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
7613 GARNERS FERRY RD, COLUMBIA, SC 29209-3811
(839) 600-9190
(839) 600-9195
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18204
SC
Other
Enumeration date
03/18/2013
Last updated
07/01/2024
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