Black Peterson
CNIM | Neurology - Clinical Neurophysiology
1304 Sunset Blvd # 203, West Columbia
South Carolina, 29169-5914
888-851-3677 Maps & DirectionsBlack Peterson is a West Columbia, South Carolina based neurologist who is specialized in Clinical Neurophysiology. Active license number of Black Peterson is 4700 for Clinical Neurophysiology in South Carolina. His current practice location is 1304 Sunset Blvd # 203, West Columbia. Patients can reach him at 888-851-3677. Black Peterson is CNIM in Clinical Neurophysiology and his NPI number (Unique professional ID assigned by NPPES) is 1447833173.
Black Peterson is subspecialized 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).
Complete Profile:
Black Peterson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Black Peterson |
| Specialization: | Clinical Neurophysiology |
| Gender: | Male |
| Credentials: | CNIM |
| Practice Address: | 1304 Sunset Blvd # 203, West Columbia,
South Carolina, 29169-5914 |
| Phone: | 888-851-3677 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1447833173 |
| NPI Enumeration Date: | 30 Apr, 2021 |
| NPI Last Update On: | 30 Apr, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Black Peterson are as mentioned below.
| License Number | Specialization | State | Status | |
| 4700 | Clinical Neurophysiology | South Carolina | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Black Peterson
1304 Sunset Blvd # 203,
West Columbia, South Carolina |
| Zip: | 29169-5914 |
| Phone Number: | 888-851-3677 |
Patients can reach Black Peterson at
1304 Sunset Blvd # 203, West Columbia, South Carolina or can
call to book an appointment on 888-851-3677.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.