Peterson, Marlisa S

Peterson, Marlisa S is an individual health care provider with primary practice located at 325 W Liberty St , Sumter SC 29150-5139. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Peterson, Marlisa S can be contacted via phone (803) 774-7000.

Contact Information

Primary practice address
325 W Liberty St Sumter SC 29150-5139
Phone: (803) 774-7000
Fax: (803) 774-7004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1891191409
LBN Legal business name Peterson, Marlisa S
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2014
Last updated Nov 10th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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