Individual
ARTHUR PEDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5875 PEACHTREE INDUSTRIAL BLVD, SUITE 130, NORCROSS, GA 30092-3677
(770) 447-8135
Mailing address
4183 BENT WILLOW DR SW, LILBURN, GA 30047-3366
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT000998
LICENSE #
GA
Enumeration date
08/30/2006
Last updated
07/08/2007
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