Peterman, Gerald

Peterman, Gerald is an individual health care provider with primary practice located at 2054 Watson Blvd , Warner Robins GA 31093-3634. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Peterman, Gerald can be contacted via phone (478) 633-2097.

Contact Information

Primary practice address
2054 Watson Blvd Warner Robins GA 31093-3634
Phone: (478) 633-2097
Fax: (478) 633-7836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN122988 Georgia

Profile Details

NPI number 1649289653
LBN Legal business name Peterman, Gerald
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2006
Last updated Dec 17th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649289653 NPPES
Georgia MEDICAID 498794628B

Popular Providers