Individual
ROBERT GOODLOE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 PARKWOOD MEDICAL PARK, ELKIN, NC 28621-2487
(336) 835-7208
(336) 835-7209
Mailing address
680 PARKWOOD MEDICAL PARK, ELKIN, NC 28621-2487
(336) 835-7208
(336) 835-7209
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23070
NC
Other
Enumeration date
01/02/2007
Last updated
04/09/2013
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