Peters, Olivia Elliott

Peters, Olivia Elliott is an individual health care provider with primary practice located at 23800 John T Reid Pkwy , Scottsboro AL 35768-2841. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Peters, Olivia Elliott can be contacted via phone (256) 999-0808.

Contact Information

Primary practice address
23800 John T Reid Pkwy Scottsboro AL 35768-2841
Phone: (256) 999-0808
Fax: (844) 490-5876
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X P20413 Maryland
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2008-01630 North Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 22410 Hawaii
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 42070 Alabama

Profile Details

NPI number 1841333432
LBN Legal business name Peters, Olivia Elliott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jun 20th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1841333432 NPPES
North Carolina MEDICAID 5910714

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