Individual
ALEX WHITMAN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHMNP
Contact information
Practice address
1010 HUNTCLIFF STE 1350, ATLANTA, GA 30350-1809
(404) 736-1410
Mailing address
1010 HUNTCLIFF STE 1350, ATLANTA, GA 30350-1809
(404) 736-1410
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN202524
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN202524
GA
Other
Enumeration date
02/08/2018
Last updated
01/22/2019
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