Individual
MS. VALERIE L PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
227 RIDGE CIR, DUBLIN, GA 31021-3717
(478) 274-9553
Mailing address
227 RIDGE CIR, DUBLIN, GA 31021-3717
(478) 274-9553
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2121
GA
133V00000X
Registered Dietitian
ND001100
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5111710036
MEDICARE PTAN
GA
Enumeration date
02/07/2006
Last updated
12/11/2012
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