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NPI 1922068147

IndividualActive

Christopher Peterson

NPI 1922068147 · Independent Duty Corpsman · N Charleston, SC

Provider details

NPI number: 1922068147
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Sex: Male

Practice location

3600 Rivers Ave

N Charleston, SC 29405-7747

Phone: (843) 574-8242

More SC providers

Mailing address

101 Plume Poppy Ct

Ladson, SC 29456-3894

Registry dates

Enumerated: 2006-03-23
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Christopher Peterson — NPI 1922068147, N Charleston, SC | NPI Central