Individual
DR. MARILYN KATHLEEN PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2519 PARKWOOD RD, SNELLVILLE, GA 30039-4403
(678) 344-6821
(770) 985-8758
Mailing address
2519 PARKWOOD RD, SNELLVILLE, GA 30039-4403
(678) 344-6821
(770) 985-8758
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007462
GA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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