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NPI Code Detail

MEDICARE: KATHERINE ANNE PETERS NP

MEDICARE: KATHERINE ANNE PETERS NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerRN208946GA

General Provider Information

NPI Number : 1285156620
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ANNE PETERS NP
Provider Business Mailing Address
First Line : 61 WHITCHER ST NE STE 2100
Second Line :
City : MARIETTA
State : GA
Zip : 30060-1179
Country : US
Telephone Number : 770-423-0595
Fax Number : 678-391-5055
Provider Business Practice Location Address
First Line : 95 COLLIER RD NW STE 2045
Second Line :
City : ATLANTA
State : GA
Zip : 30309-1723
Country : US
Telephone Number : 404-605-5699
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2017
Last Update Date : 08/21/2023

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Directions to “ KATHERINE ANNE PETERS NP” Practice Location

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