Organization
PEE DEE REGIONAL HOSPITAL FOR GERIATRIC BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL PETERKIN (VICE PRESIDENT)
(919) 440-7215
Entity
Organization
Contact information
Practice address
1138 CHERAW ST, BENNETTSVILLE, SC 29512-2466
(919) 440-7215
Mailing address
1122 LADY STREET 3D FLOOR, COLUMBIA, SC 29201
(919) 440-7215
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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