Individual
ANETHA DEBORAH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2171 PEACHTREE ROAD NE, APT 306, ATLANTA, GA 30309
(678) 464-9424
Mailing address
2171 PEACHTREE ROAD NE, APT 306, ATLANTA, GA 30309
(678) 464-9424
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN164175
GA
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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