Peterson, Randall Erik
Peterson, Randall Erik is an individual health care provider with primary practice located at 4039 Gateway Blvd , Grovetown GA 30813-3195. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Peterson, Randall Erik can be contacted via phone (706) 922-1600.Contact Information
Primary practice address
4039 Gateway Blvd
Grovetown GA 30813-3195
Phone: (706) 922-1600
Fax: (706) 922-1010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 72759 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 14-036 | Georgia |
Profile Details
| NPI number | 1902124308 |
|---|---|
| LBN Legal business name | Peterson, Randall Erik |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2010 |
| Last updated | Mar 21st, 2024 - about 9 months 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.
Popular Providers
-
Herbert, Jennifer Porter
925 Branch Ct Ste 101 , Grovetown GA 30813-3325 -
Killian, James Wendall
402 Cumberland Ave , Williamsburg KY 40769-1238 -
Swanson, Evan Joel
1301 S. Main St. , Ottawa KS 66067 -
Suykerbuyk, Robert A
4039 Gateway Blvd , Grovetown GA 30813 -
Mccartney, Valerie
4039 Gateway Blvd , Grovetown GA 30813-3195 -
Zabel, Christine M
1999 Sproul Rd Suite 21, Broomall PA 19008-3508 -
Friedman, Michael S.
4039 Gateway Blvd. , Grovetown GA 30813 -
Fluharty, Kelly C
800 Grand Central Mall Suite 4, Vienna WV 26105-4131