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Search › Georgia › 363LF0000X

Faneshia Peterson, FNP

NPI 1942898473 · on the registry since 2021

Practice

Address
4475 W Village Pkwy
Ellenwood, GA 30294
Phone
(770) 507-7950
Organisation at this address
Wellstreet Of Georgia Pc
Fairview Urgent Care, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
163W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-11-01

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