Individual provider · Type 1 NPI

Angela Kelly Peterson, PA-C

Physician Assistant · North Charleston, SC

NPI number 1861721391 Active

Practice location

5880 Rivers Avenue
North Charleston, SC 29406

Fax (843) 552-4121

Mailing address

5880 Rivers Ave
North Charleston, SC 29406-6053

Other practice locations

  • 354 Folly Rd Ste 5, Charleston, SC 29412 · (843) 225-2374

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X642 (SC)
Physician Assistant Primary 363A00000X642 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1861721391

Angela Kelly Peterson, PA-C's National Provider Identifier is 1861721391, issued on Dec 11, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in North Charleston, SC. The record was last updated on Aug 28, 2026.