Individual
MS. RACHAEL GABRI PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1336 HIGHWAY 54 W BLDG 200, FAYETTEVILLE, GA 30214-4574
(770) 460-9777
(770) 460-0650
Mailing address
1930 BRANNAN RD, MCDONOUGH, GA 30253-4310
(678) 284-4040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11161
GA
Other
Enumeration date
09/16/2022
Last updated
04/16/2024
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