Provider Demographics
NPI:1013721935
Name:MCPETERS, GENE
Entity type:Individual
Prefix:
First Name:GENE
Middle Name:
Last Name:MCPETERS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6249 HARMONY GROVE RD
Mailing Address - Street 2:
Mailing Address - City:NEBO
Mailing Address - State:NC
Mailing Address - Zip Code:28761-0329
Mailing Address - Country:US
Mailing Address - Phone:828-403-4575
Mailing Address - Fax:
Practice Address - Street 1:6249 HARMONY GROVE RD
Practice Address - Street 2:
Practice Address - City:NEBO
Practice Address - State:NC
Practice Address - Zip Code:28761-0329
Practice Address - Country:US
Practice Address - Phone:828-403-4575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, Basic
No172A00000XOther Service ProvidersDriver