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1730923970
AUSTIN PETERSON
CHARLESTON, SC
NPI
1730923970
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SC LL92497)
Enumeration Date
2024-06-22
Last Update Date
2024-06-22
Business Address
AUSTIN PETERSON DO
650 ELLIS OAK AVENUE
CHARLESTON, SC 29412
Phone number: 843-792-3451
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Mailing Address
AUSTIN PETERSON DO
169 ASHLEY AVENUE ROOM 202, MSC 333
CHARLESTON, SC 29425
Phone number: 843-876-7080
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