Individual
PETER BECHAN ROSENQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
997 SAINT SEBASTIAN WAY, GEORGIA REGENTS MEDICAL ASSOCIATES, AUGUSTA, GA 30901
(706) 721-6597
Mailing address
1499 WALTON WAY, SUITE 1400, ATTN: DONNA RAIFORD, AUGUSTA, GA 30901
(706) 828-8401
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
068296
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003125892A
—
GA
01
—
068296
LICENSE
GA
Enumeration date
12/02/2005
Last updated
09/23/2014
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