Individual
BENJAMIN ALLEN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
269 OLD PLANTATION TRL NW, MILLEDGEVILLE, GA 31061-8099
(478) 414-6541
Mailing address
269 OLD PLANTATION TRL NW, MILLEDGEVILLE, GA 31061-8099
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PHI-020761
GA
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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