Individual
CHRISTOPHER PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
3600 RIVERS AVE, N CHARLESTON, SC 29405-7747
(843) 574-8242
Mailing address
101 PLUME POPPY CT, LADSON, SC 29456-3894
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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