TAMARA PETERSON

Contractor

Active Individual
NPI: 1366853756

Practice Address

220 CLIVE ST
Columbia, SC 29204

Phone: (803) 530-5314

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1366853756 is the National Provider Identifier for TAMARA PETERSON, a Contractor provider located in Columbia, SC. This NPI was enumerated on May 19, 2014.
TAMARA PETERSON practices at 220 CLIVE ST, Columbia, SC 29204.

Quick Facts

NPI
1366853756
Type
Individual
Enumerated
May 19, 2014
Last Updated
May 19, 2014

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