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1720048978
ALAN C PETERSON
COLUMBIA, SC
NPI
1720048978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: SC 16553)
Enumeration Date
2006-03-23
Last Update Date
2020-11-10
Business Address
ALAN C PETERSON MD
1750 LAUREL STREET
COLUMBIA, SC 29201
Phone number: 803-779-3378
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Mailing Address
ALAN C PETERSON MD
PO BOX 6069
WEST COLUMBIA, SC 29171-6069
Phone number:
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