TAMARA PETERSON

Contractor

Active Individual
NPI: 1376822122

Practice Address

941 ARBOR WAY
Mcdonough, GA 30253

Phone: (678) 661-1145

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1376822122 is the National Provider Identifier for TAMARA PETERSON, a Contractor provider located in Mcdonough, GA. This NPI was enumerated on August 11, 2011.
TAMARA PETERSON practices at 941 ARBOR WAY, Mcdonough, GA 30253.

Quick Facts

NPI
1376822122
Type
Individual
Enumerated
Aug 11, 2011
Last Updated
Aug 11, 2011

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