Individual
PETER JOHN ULBRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
403 WESTPARK CT, SUITE 110, PEACHTREE CITY, GA 30269-1456
(770) 486-1633
(770) 486-6275
Mailing address
403 WESTPARK CT, SUITE 110, PEACHTREE CITY, GA 30269-1456
(770) 486-1633
(770) 486-6275
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
028696
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00489145E
—
GA
Enumeration date
02/01/2007
Last updated
07/08/2007
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