Individual provider · Type 1 NPI

Christopher Peterson

Independent Duty Corpsman · North Charleston, SC

NPI number 1922068147 Active

Practice location

3600 Rivers Ave
North Charleston, SC 29405-7747

Call (843) 574-8242 Map

Mailing address

101 Plume Poppy Ct
Ladson, SC 29456-3894

Specialties and licenses

TaxonomyCodeLicense
Independent Duty Corpsman Primary 1710I1002XNone listed

Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…

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About NPI 1922068147

Christopher Peterson's National Provider Identifier is 1922068147, issued on Mar 23, 2006. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in North Charleston, SC. The record was last updated on Jul 13, 2026.