JAMES LENFORD PETERSON

COLUMBIA, SC
NPI1649361148
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence:   1021128)
Enumeration Date2006-09-27
Last Update Date2007-07-08
Business Address
Mr. JAMES LENFORD PETERSON PA-C
4500 STUART ST MACH/CREDENTIALS
COLUMBIA, SC 29207-5700
Phone number: 803-751-2618
Mailing Address
Mr. JAMES LENFORD PETERSON PA-C
4500 STUART ST MACH ATTN: MCXL-PQ (CREDENTIALS)
COLUMBIA, SC 29207-5700
Phone number: 803-751-2618
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