Individual
DR. KATHERINE A PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5354 REYNOLDS ST STE 202, SAVANNAH, GA 31405-6009
(912) 352-0920
Mailing address
PO BOX 919, RINCON, GA 31326-0919
(912) 352-0920
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
48313
KY
208600000X
Surgery Physician
Primary
82882
GA
Other
Enumeration date
08/03/2010
Last updated
12/10/2020
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