Individual
DR. JACOB HARLEY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1409 N HIGHLAND AVE NE STE A, ATLANTA, GA 30306-3300
(404) 860-1030
Mailing address
1055 BRADY AVE NW, APT 155, ATLANTA, GA 30318
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR066627
GA
Other
Enumeration date
01/22/2026
Last updated
01/22/2026
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