Individual
DR. KRISTOFOR MIKAEL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
587 VIRGINIA AVE NE, STE 4, ATLANTA, GA 30306-3695
(404) 477-7911
(404) 477-0750
Mailing address
1638 DELIA DR, DECATUR, GA 30033-3318
(404) 668-8719
(404) 477-0750
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007503
GA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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