Healthcare Provider Details

I. General information

NPI: 1972777902
Provider Name (Legal Business Name): CLAUDIA ANN PETERS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2008
Last Update Date: 09/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 TIMBERLANE RD
WAYNESVILLE NC
28786-7927
US

IV. Provider business mailing address

PO BOX 444
MURPHY NC
28906-0444
US

V. Phone/Fax

Practice location:
  • Phone: 828-454-7220
  • Fax: 877-346-1089
Mailing address:
  • Phone: 828-837-0071
  • Fax: 828-586-8209

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2012-00652
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2084P0802X
TaxonomyAddiction Psychiatry Physician
License Number178740
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: