Individual
PETER J KAPLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30045-7694
(678) 312-3273
(678) 312-3282
Mailing address
PO BOX 116156, ATLANTA, GA 30368-6156
(678) 312-5525
(770) 339-2120
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
54247
GA
207R00000X
Internal Medicine Physician
Primary
54247
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
182139280A
—
GA
Enumeration date
05/24/2005
Last updated
03/10/2021
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