Individual
ERIC PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-5834
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-5834
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8090
GA
Other
Enumeration date
01/09/2014
Last updated
11/14/2019
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