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Individual

DR. PETER BEMIS H'DOUBLER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5673 PEACHTREE DUNWOODY RD NE, SUITE 675, ATLANTA, GA 30342-1731
(678) 843-5400
(678) 843-5449
Mailing address
1838 AMERICAN WAY, LAWRENCEVILLE, GA 30043-6611
(770) 995-7622
(770) 995-7854

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
034609
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000460039I
GA
05
000460039J
GA
05
000460039K
GA
05
000460039L
GA
05
000460039M
GA
05
000460039N
GA
05
000460039O
GA
05
000460039P
GA
05
000460039Q
GA
05
000460039R
GA
05
00460039E
GA
Enumeration date
03/24/2006
Last updated
04/01/2013
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