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Contact Information

GRETA M PETERSON
1318 DURST AVE EAST BOXWOOD APT A6
GREENWOOD, SC29649
 Phone: 864-337-2780
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for GRETA M PETERSON · (Female)

NPI # 1629658422
Status Active
Credentials
Entity Individual
Enumeration date 04/14/2021
Last updated 04/14/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 242282
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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