Petermann, Scott H

Petermann, Scott H is an individual health care provider with primary practice located at 4380 Kings Way , Valdosta GA 31602-6921. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Petermann, Scott H can be contacted via phone (229) 391-4180.

Contact Information

Primary practice address
4380 Kings Way Valdosta GA 31602-6921
Phone: (229) 391-4180
Fax: (229) 391-4392
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 42106 Georgia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 42106 Georgia

Profile Details

NPI number 1043215759
LBN Legal business name Petermann, Scott H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Sep 6th, 2013 - about 13 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 1043215759 NPPES
Georgia MEDICAID 008244425C

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