Organization
GEORGIA MEDICAL SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E PETERZELL D.O. (MEDICAL DIRECTOR)
(770) 434-7830
Entity
Organization
Contact information
Practice address
3330 SOUTH COBB DRIVE, STE: B, SMYRNA, GA 30080
(770) 434-7830
Mailing address
3316A SOUTH COBB DRIVE, STE: 187, SMYRNA, GA 30080
(770) 434-7830
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
053868
GA
Other
Enumeration date
02/14/2011
Last updated
07/06/2011
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