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Edwine Peterson

NPI 1962205419 · on the registry since 2025 · sole proprietor

Practice

Address
2511 Pheasant Dr
Albany, GA 31707
Phone
(239) 240-1879

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-31

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