Search › Georgia › 207V00000X
Justin Peterson, MD
NPI 1073893616 · on the registry since 2011 · sole proprietor
Practice
- Address
- 2010 Ocilla Rd
Douglas, GA 31533 - Phone
- (912) 384-2500
- Fax
- (912) 383-6788
- Organisation at this address
- Crh Physician Practices Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Additional practice sites
- 11 Cross St, Hazlehurst, GA
- 1050 Valdosta Hwy, Homerville, GA
- 1724a Old Reynolds St, Waycross, GA
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia