Individual
DIANE PETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
119 HARMONY XING STE 3, EATONTON, GA 31024-9571
(706) 485-4004
Mailing address
1838 AMERICAN WAY, LAWRENCEVILLE, GA 30043-6611
(770) 841-1954
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
209484
NY
207Q00000X
Family Medicine Physician
Primary
95057
GA
Other
Enumeration date
03/06/2007
Last updated
05/01/2024
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