Hairston, Peter Jeff
Hairston, Peter Jeff is an individual health care provider with primary practice located at 300 Tower Rd Ne Suite 200, Marietta GA 30060-9403. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Hairston, Peter Jeff can be contacted via phone (770) 427-5717.Contact Information
Primary practice address
300 Tower Rd Ne Suite 200
Marietta GA 30060-9403
Phone: (770) 427-5717
Fax: (770) 429-6503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 003530 | Georgia |
Profile Details
| NPI number | 1386633832 |
|---|---|
| LBN Legal business name | Hairston, Peter Jeff |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Aug 13th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386633832 | NPPES |
| Georgia | MEDICAID | 309477474A |
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