Individual
HARRISON PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 WILLOW TRAIL PKWY, NORCROSS, GA 30093-2525
(404) 916-4538
Mailing address
PO BOX 48661, ATLANTA, GA 30362-1661
(404) 916-4538
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
45-5624419
GA
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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