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Shalisa Peterson
NPI 1700545605 · on the registry since 2021
Practice
- Address
- 2215 Exchange Pl Se
Conyers, GA 30013 - Phone
- (770) 679-0586
- Organisation at this address
- Family 360 Incorporated
Rockdale Physician Practices, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Female
- Record last updated
- 2021-12-08
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