SearchSouth Carolina224Z00000X

Ty Peters

NPI 1659704393 · on the registry since 2013

Practice

Address
4269 Crepe Myrtle Ct Unit E
Murrells Inlet, SC 29576
Phone
(703) 399-6086

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
SC
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-08-16

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