BLACK PETERSON

WEST COLUMBIA, SC
NPI1447833173
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0600X Psychiatry & Neurology Clinical Neurophysiology
(Licence: SC  4700)
Enumeration Date2021-04-30
Last Update Date2021-04-30
Business Address
BLACK PETERSON CNIM
1304 SUNSET BLVD # 203
WEST COLUMBIA, SC 29169-5914
Phone number: 888-851-3677
Mailing Address
BLACK PETERSON CNIM
1304 SUNSET BLVD # 203
WEST COLUMBIA, SC 29169-5914
Phone number: 888-851-3677
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