Individual provider · Type 1 NPI

Black Peterson, CNIM

Clinical Neurophysiology Physician · West Columbia, SC

NPI number 1447833173 Active

Practice location

1304 Sunset Blvd # 203
West Columbia, SC 29169-5914

Specialties and licenses

Taxonomy	Code	License
Clinical Neurophysiology Physician Primary	2084N0600X	4700 (SC)

Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

5 other providers at this address

Other clinical neurophysiology physician providers in West Columbia

See all in West Columbia →

About NPI 1447833173

Black Peterson, CNIM's National Provider Identifier is 1447833173, issued on Apr 30, 2021. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in West Columbia, SC. The record was last updated on Apr 30, 2021.