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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386633832 NPPES
Georgia MEDICAID 309477474A

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