Individual
PETER DYLAN CUMISKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1017 FAYETTEVILLE RD SE STE B, ATLANTA, GA 30316-2932
(404) 324-4190
(404) 324-4191
Mailing address
939 WOODBOURNE DR SW, ATLANTA, GA 30310-4605
(954) 526-5241
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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