Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Peter Boettger, PA

Individual provider Medical Physician Assistant · NPI 1174509541

Mr. Peter Boettger, PA is a Medical Physician Assistant in Greenville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

600 Moye Blvd Leo Jenkins Cancer Ctr
Greenville, NC 27858
Phone: (252) 744-2383
Fax: (252) 744-3565
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 100862 (NC)

Record details

NPI number1174509541
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 19, 2005
Last updated in NPPESMarch 4, 2015

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