Individual
JASMINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1600 FORT BENNING RD, COLUMBUS, GA 31903-2834
(706) 322-9599
(706) 507-3047
Mailing address
1525 CLIFTON RD NE, FL 4, ATLANTA, GA 30322-4200
(706) 322-9599
(706) 507-3047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7914
GA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
12/22/2015
Last updated
10/14/2021
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