Justin Peterson

NPI 1073893616 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1073893616
Gender Male
Enumeration Date 08/26/2011
Last Updated 08/26/2011
Entity Type Individual
Active Over 6 years ago
Practice Location
1550 COLLEGE ST
MACON GA, 31207-0001, US
Phone (478) 301-5570
Fax
Business Location
1550 COLLEGE ST
MACON GA, 31207-0001, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Mr. Justin Peterson NPI is 1073893616, taxonomy code is 390200000X Justin Peterson physically located at 1550 College St, Macon GA, 31207-0001. NPI Number Justin Peterson has the Individual type.

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1073893616 NPI number is provided on an as is basis without warranty of any kind. 1073893616 is maintained by the National Plan & Provider Enumeration System. The contents of Justin Peterson are for informational purposes only.