Individual
DANIELS EARL PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3114 ASBURY SQ, ATLANTA, GA 30346-2421
(239) 321-9007
Mailing address
3114 ASBURY SQ, ATLANTA, GA 30346-2421
(239) 321-9007
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
01/30/2019
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