Individual
ESSI I PEERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5665 NEW NORTHSIDE DR STE 200, ATLANTA, GA 30328-4617
(770) 874-5400
Mailing address
2418 HOWELL MILL RD NW, ATLANTA, GA 30318-1633
(770) 365-1153
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101020077
MI
Other
Enumeration date
07/25/2012
Last updated
11/02/2018
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