Peterson Alcide

NPI 1477153955 · on the registry since 2020

Practice

Address: 166 Anderson St Se Ste 225
Marietta, GA 30060
Phone: (203) 501-6553
Organisation at this address: Oss Care & Consulting, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 101Y00000X
101Y00000X
Also registered as: 246Y00000X
246QL0900X
2472E0500X
101YM0800X
132700000X
225C00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-06-21

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