Organization
JPETE LLC
Active
Other names
Peterson Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE PETERSON D.C. (DOCTOR)
(843) 795-1999
Entity
Organization
Contact information
Practice address
1939 MAYBANK HWY, SUITE C, CHARLESTON, SC 29412-2114
(843) 795-1999
Mailing address
1939 MAYBANK HWY, CHARLESTON, SC 29412-2114
(843) 795-1999
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2166
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH2167
—
SC
Enumeration date
03/10/2008
Last updated
07/02/2008
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