Organization
JOHN L PETERSON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA FAIRCLOTH (OFFICE MANAGER)
(919) 775-8183
Entity
Organization
Contact information
Practice address
1013 CARTHAGE ST, SANFORD, NC 27330-4114
(919) 775-8183
(919) 775-8152
Mailing address
1013 CARTHAGE ST, SANFORD, NC 27330-4114
(919) 775-8183
(919) 775-8152
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
38166
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890230F
—
NC
Enumeration date
07/21/2005
Last updated
01/02/2008
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