Individual
BRADLEY ROBERT PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6025 PROFESSIONAL PKWY STE 104, DOUGLASVILLE, GA 30134-5610
(407) 412-6300
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
202673
NY
2085R0202X
Diagnostic Radiology Physician
26644
AL
2085R0202X
Diagnostic Radiology Physician
Primary
51890
GA
2085R0202X
Diagnostic Radiology Physician
MD21001176
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000964268L
—
GA
Enumeration date
05/27/2005
Last updated
08/21/2025
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