| Doctor Name: | MARK S PETERS |
| NPI Number: | 1013064849 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 102005 |
| Business Practice Address: | 534 Biltmore Avenue Asheville, NC - 288014612 |
| Business Phone Number: | 8282130594 |
| Business Fax Number: | 8282130590 |
| Mailing Address: | Po Box 2679, ASHEVILLE |
| State: | NC |
| Postal Code: | 288022679 |
| Phone Number: | 8282130594 |
| Fax Number: | 8282130590 |
| NPI Enumeration Date: | 01/04/2007 |
| NPI Last Update Date: | 04/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 102005 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |