Individual
SCOTT H PETERMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4380 KINGS WAY, VALDOSTA, GA 31602-6921
(229) 391-4180
(229) 391-4392
Mailing address
4380 KINGS WAY, VALDOSTA, GA 31602-6921
(229) 244-2068
(229) 391-4392
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
42106
GA
207W00000X
Ophthalmology Physician
Primary
42106
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008244425C
—
GA
Enumeration date
06/17/2005
Last updated
09/06/2013
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