Individual
PETER WROBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1718 REYNOLDS STREET, WAYCROSS, GA 31501-4574
(912) 283-1359
(912) 283-1362
Mailing address
1718 REYNOLDS STREET, WAYCROSS, GA 31501-4574
(912) 283-1359
(912) 283-1362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
040285
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000672339E
—
GA
05
—
000672339F
—
GA
Enumeration date
07/15/2006
Last updated
03/17/2018
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