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Individual

DR. GORDON J PELTIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1121 JOHNSON FERRY RD, SUITE 100, MARIETTA, GA 30068-5425
(770) 509-1025
Mailing address
1955 LAKE PARK DR, STE. 250, SMYRNA, GA 30080
(678) 223-7700

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
015808
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00255802B
GA
Enumeration date
06/05/2006
Last updated
10/28/2020
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