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Susan Grizzard Peterson, NP
Nurse Practitioner in Spartanburg, South Carolina
NPI 1124330014

Susan Grizzard Peterson is a Nurse Practitioner based in Atlanta, SC. Susan Grizzard Peterson practices in Spartanburg, SC and has the professional credentials of NP. The NPI Number for Susan Grizzard Peterson is 1124330014 and holds a License No. (South Carolina).

The current practice location address for Susan Grizzard Peterson is 225 E Wood St, Spartanburg, SC and can be reached out via phone at 864-560-4420 and via fax at 864-560-5296.

Location: 225 E Wood St, Spartanburg, SC, 30374-3070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124330014
Provider Name
Susan Grizzard Peterson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
225 E Wood St, Spartanburg, SC, 30374-3070
Phone Number
864-560-4420
Fax Number
864-560-5296
Provider Enumeration Date
07/08/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AA57905019 01 SC MEDICARE PIN
NP1650 05 SC
7004655 05 NC
P01322006 01 SC RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
225 E Wood St
City
Spartanburg
State
South Carolina
Zip
29303-3050
Phone Number
864-560-4420
Fax Number
864-560-5296
person
Provider Business Mailing Address Details
Address
225 E Wood St
City
Spartanburg
State
South Carolina
Zip
29303-3050
Phone Number
864-560-4420
Fax Number
864-560-5296
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
4281 (South Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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