Individual
DR. RYAN BRENT PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, SUITE D112, ATLANTA, GA 30322-1059
(770) 833-3860
Mailing address
1364 CLIFTON RD NE, SUITE D112, ATLANTA, GA 30322-1059
(770) 833-3860
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
073456
GA
2085R0202X
Diagnostic Radiology Physician
Primary
073456
GA
Other
Enumeration date
04/10/2009
Last updated
06/16/2015
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