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Individual

DR. CHARLES ALONZO PETERS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD / PHD

Contact information

Practice address
609 E LAMAR ST, AMERICUS, GA 31709-3737
(229) 924-8636
(229) 924-8786
Mailing address
609 E LAMAR ST, AMERICUS, GA 31709-3737
(229) 924-8636
(229) 924-8786

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
071613
GA

Other

Enumeration date
04/09/2014
Last updated
06/18/2014
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