DR. RANDALL PETERSON, M.D.
Family Medicine
Active
Individual
NPI: 1902124308
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | No | 14-036 (GA) |
Frequently Asked Questions
NPI 1902124308 is the National Provider Identifier for DR. RANDALL PETERSON, M.D., a Family Medicine provider located in Grovetown, GA. This NPI was enumerated on May 10, 2010.
DR. RANDALL PETERSON, M.D. practices at 4039 GATEWAY BLVD, Grovetown, GA 30813.
Quick Facts
- NPI
- 1902124308
- Type
- Individual
- Enumerated
- May 10, 2010
- Last Updated
- Mar 21, 2024
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