Individual
MARK PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
3031 WILLIAMS RD, COLUMBUS, GA 31909-5633
(706) 221-7139
Mailing address
11414 BLUFFS RDG, SPOTSYLVANIA, VA 22551-8915
(646) 346-0834
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11020587
FL
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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