Individual
MR. MATTHEW A. PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
820 ST. SEBASTIAN WAY, SUITE 8A, AUGUSTA, GA 30901-0000
(706) 722-6900
(706) 722-5118
Mailing address
820 ST. SEBASTIAN WAY, SUITE 8A, AUGUSTA, GA 30901-0000
(706) 722-6900
(706) 722-5118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
004878
GA
363A00000X
Physician Assistant
PA1183
SC
363AM0700X
Medical Physician Assistant
Primary
004878
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150672976
—
GA
Enumeration date
09/04/2006
Last updated
12/23/2009
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