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Individual

MR. JUSTIN PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2010 OCILLA RD, DOUGLAS, GA 31533-2230
(912) 384-2500
(912) 383-6788
Mailing address
2010 OCILLA RD, DOUGLAS, GA 31533-2230
(912) 384-2500
(912) 383-6788

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
079895
GA

Other

Enumeration date
08/26/2011
Last updated
04/27/2019
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