Individual
EMILY A PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
5202 BETHEL REED PARK, SUITE 100, COLUMBUS, OH 43220-1818
(614) 447-9495
(614) 447-9163
Mailing address
5202 BETHEL REED PARK, SUITE 100, COLUMBUS, OH 43220-1818
(614) 447-9495
(614) 447-9163
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD7192
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0166328
—
OH
Enumeration date
02/18/2016
Last updated
02/09/2017
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