Individual
DAVID PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1525 W W T HARRIS BLVD, CHARLOTTE, NC 28262-8522
(704) 590-6770
Mailing address
1525 W W T HARRIS BLVD, CHARLOTTE, NC 28262-8522
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21432
NC
Other
Enumeration date
02/23/2006
Last updated
02/12/2019
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