SearchSouth Carolina390200000X

Passion Peterson

NPI 1245810712 · on the registry since 2021 · sole proprietor

Practice

Address
432 Meadowlake Dr
Columbia, SC 29203
Phone
(843) 630-4855
Fax
(843) 662-6697

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
372600000X
Sex
Male
Record last updated
2021-04-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina