Individual
TONI PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 JOHNSON FERRY RD, DEPT OF PATHOLOGY, ATLANTA, GA 30342-1606
(770) 458-6103
Mailing address
3300 BUCKEYE RD, STE 178, ATLANTA, GA 30341-4232
(770) 458-6103
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
75868
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
248567
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD453902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003180374A
—
GA
Enumeration date
05/21/2015
Last updated
11/04/2016
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