IndividualActive
Tamara Peterson
NPI 1366853756 · Contractor · Columbia, SC
Provider details
- NPI number
- 1366853756
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
220 Clive St
Columbia, SC 29204-3021
Phone: (803) 530-5314
Approximate (ZIP-level) locationGet directions
Mailing address
4840 Forest Dr
Columbia, SC 29206-4810
Registry dates
- Enumerated
- 2014-05-19
- Last updated
- 2014-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.