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1720320740
JON K PETERS
COLUMBIA, SC
NPI
1720320740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: SC 18204)
Enumeration Date
2013-03-18
Last Update Date
2024-07-01
Business Address
JON K PETERS FNP
7613 GARNERS FERRY RD
COLUMBIA, SC 29209-3811
Phone number: 839-600-9190
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Mailing Address
JON K PETERS FNP
300 E MCBEE AVE FL 4
GREENVILLE, SC 29601-2842
Phone number:
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