Individual
PETER WYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1605 ROBERTA DR SW, MARIETTA, GA 30008-3855
(770) 419-3120
Mailing address
1605 ROBERTA DR SW, MARIETTA, GA 30008-3855
(770) 419-3120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
046719
GA
Other
Enumeration date
10/31/2006
Last updated
07/20/2012
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