Individual
SANDRA PEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLTC
Contact information
Practice address
513B 36TH AVE N, MYRTLE BEACH, SC 29577-1309
(843) 877-0450
Mailing address
513B 36TH AVE N, MYRTLE BEACH, SC 29577-1309
(843) 877-0450
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EA2478
—
SC
Enumeration date
10/24/2014
Last updated
10/24/2014
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