Individual
GERALD PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2054 WATSON BLVD, WARNER ROBINS, GA 31093-3634
(478) 633-2097
(478) 633-7836
Mailing address
409 HERITAGE DR, WARNER ROBINS, GA 31093-6621
(478) 922-7954
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN122988
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498794628B
—
GA
Enumeration date
08/07/2006
Last updated
12/17/2012
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