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Individual

DR. PETER JOHN BAUTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC, LCP

Contact information

Practice address
510 SWANSON RD, TYRONE, GA 30290-6900
(770) 964-5230
(770) 964-5260
Mailing address
510 SWANSON RD, TYRONE, GA 30290-6900
(770) 964-5230
(770) 964-5260

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007853
GA

Other

Enumeration date
02/22/2010
Last updated
02/22/2010
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