Individual
DR. NOEL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2090 W ARLINGTON BLVD, SUITE B, GREENVILLE, NC 27834-5727
(252) 757-3333
(252) 752-1786
Mailing address
2090 W ARLINGTON BLVD, SUITE B, GREENVILLE, NC 27834-5727
(252) 757-3333
(252) 752-1786
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2005-00812
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901348
—
NC
01
—
I3929
BCBS NC
NC
Enumeration date
09/15/2005
Last updated
06/07/2016
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