Individual
MELISSA T PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC, MS, WHNP
Contact information
Practice address
315 WINN WAY, DECATUR, GA 30030-2111
(404) 299-9724
(404) 299-0382
Mailing address
315 WINN WAY, DECATUR, GA 30030-2111
(404) 299-9724
(404) 299-0382
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN117123
GA
Other
Enumeration date
02/26/2008
Last updated
06/04/2009
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