person
Gwendolyn Elaine Peterson-taitague
Family Nurse Practitioner in West Columbia, South Carolina
NPI 1679149280

Gwendolyn Elaine Peterson-taitague is a Family Nurse Practitioner based in West Columbia, SC and is specialized in Family. Gwendolyn Elaine Peterson-taitague practices in West Columbia, SC. The NPI Number for Gwendolyn Elaine Peterson-taitague is 1679149280 and holds a License No. 24676 (South Carolina).

The current practice location address for Gwendolyn Elaine Peterson-taitague is 1535 Platt Springs Rd # 4283, West Columbia, SC and can be reached out via phone at 760-223-3098.

Location: 1535 Platt Springs Rd # 4283, West Columbia, SC, 29169-5502
person
Provider Profile Details
NPI Number
1679149280
Provider Name
Gwendolyn Elaine Peterson-taitague
Credential
Provider Entity Type
Individual
Gender
Female
Address
1535 Platt Springs Rd # 4283, West Columbia, SC, 29169-5502
Phone Number
760-223-3098
Fax Number
Provider Enumeration Date
06/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1535 Platt Springs Rd # 4283
City
State
Zip
29169-5502
Phone Number
760-223-3098
Fax Number
person
Provider Business Mailing Address Details
Address
1535 Platt Springs Rd # 4283
City
State
Zip
29169-5502
Phone Number
760-223-3098
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
24676 (South Carolina)
Definition
Definition to come...
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