Individual
MRS. CHANYA M PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
488 KENNESAW AVE NW, SUITE 200, MARIETTA, GA 30060-9409
(770) 427-3075
(770) 427-3261
Mailing address
550 PEACHTREE ST NE, SUITE 1600, ATLANTA, GA 30308-2208
(404) 881-1094
(404) 874-1249
Taxonomy
Speciality
Code
Description
License number
State
163WG0100X
Gastroenterology Registered Nurse
137603
TN
363L00000X
Nurse Practitioner
11839
TN
363L00000X
Nurse Practitioner
APN0000011839
TN
363L00000X
Nurse Practitioner
Primary
RN237921
GA
Other
Enumeration date
02/19/2008
Last updated
06/06/2014
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