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Individual

JIMMY M MCPETERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PAC

Contact information

Practice address
575 PROFESSIONAL DR, SUITE #510, LAWRENCEVILLE, GA 30046-3333
(770) 670-4270
Mailing address
575 PROFESSIONAL DR, SUITE #510, LAWRENCEVILLE, GA 30046-3333
(770) 670-4270

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002712
GA

Other

Enumeration date
09/01/2006
Last updated
04/10/2015
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