Individual
DR. CHRISTOPHER ALLAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
905 JUNIPER ST NE STE 108, ATLANTA, GA 30309-4129
(404) 870-0109
(404) 870-0108
Mailing address
905 JUNIPER ST NE STE 108, ATLANTA, GA 30309-4129
(404) 870-0109
(404) 870-0108
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6634
MN
111N00000X
Chiropractor
Primary
CHIR010205
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20263639019
GEORGIA
GA
Enumeration date
08/16/2019
Last updated
08/16/2019
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