Individual
JENNIFER L PEAGLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
222 E MEDICAL LN STE 400, WEST COLUMBIA, SC 29169-4848
(803) 794-7511
(803) 794-7751
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
20830
SC
Other
Enumeration date
03/07/2017
Last updated
11/10/2020
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