Organization
EASTERN SHORE HEART CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG R PETERSON M.D. (PHYSICIAN /PRESIDENT)
(251) 990-1930
Entity
Organization
Contact information
Practice address
19725 SOUTH GREENO ROAD, FAIRHOPE, AL 36532-3843
(251) 990-1930
(251) 990-1931
Mailing address
19725 SOUTH GREENO ROAD, FAIRHOPE, AL 36532-3843
(251) 990-1930
(251) 990-1931
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/19/2006
Last updated
03/17/2008
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