Individual
TERRANCE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
315 W HICKORY ST, SYLACAUGA, AL 35150-2913
(256) 401-4000
Mailing address
925 SETTLEMENT RD, SYLACAUGA, AL 35151-6531
(256) 404-0965
(256) 228-5572
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-177925
AL
Other
Enumeration date
04/03/2024
Last updated
06/16/2024
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