Jeffrey Justin Peterson in Atlanta - Diagnostic Radiology
Jeffrey Justin Peterson - NPI 1972552107
Jeffrey Justin Peterson is a Diagnostic Radiology in Atlanta, Georgia. Jeffrey Justin Peterson practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jeffrey Justin Peterson is 1972552107. The last update date is 2019-05-06.
Jeffrey Justin Peterson's current location address is 5605 Glenridge Dr Ste 325, Atlanta, Georgia. You can contact this provider via phone number 6785537783 and fax number 6785537793. The mailing address for Jeffrey Justin Peterson is 5605 Glenridge Dr Ste 325, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Justin Peterson |
|---|---|
| Address | 5605 Glenridge Dr Ste 325, Atlanta, Georgia |
| Phone Number | 6785537783 |
| Fax Number | 6785537793 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1972552107 |
|---|---|
| Provider Enumeration Date | 2006-05-06 |
| Last Updated Date | 2019-05-06 |
Provider Mailing Address Detail
| Address | 5605 Glenridge Dr Ste 325 |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303421365 |
| Phone Number | 6785537783 |
| Fax Number | 6785537793 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 47555 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00252409 | MN | RAILROAD MEDICARE | |
| 16-03566 | MN | MEDICA | |
| P00285261 | WI | RAILROAD MEDICARE | |
| 171P6PE | MN | BLUE CROSS/BLUE SHIELD OF MN | |
| 592113 | IA | -- | |
| 1935877 | MN | AMERICA'S PPO | |
| 390400800 | MN | -- | |
| 34649100 | WI | -- | |
| 9249279 | MN | DAKOTA CARE | |
| HP52064 | MN | HEALTHPARTNERS |
Post Comment/ Review Below
What is the unique identification code assigned to Jeffrey Justin Peterson by the Centers for Medicare & Medicaid Services?
The Jeffrey Justin Peterson has been issued the NPI (National Provider Identifier) 1972552107. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jeffrey Justin Peterson is physically located?
The Jeffrey Justin Peterson is situated at the following address: 5605 Glenridge Dr Ste 325, Atlanta, GA 303421365.
What is Jeffrey Justin Peterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeffrey Justin Peterson is Diagnostic Radiology, and the taxonomy code that classifies this field of practice is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972552107 to Jeffrey Justin Peterson?
The Centers for Medicare & Medicaid Services originally issued the 1972552107 to Jeffrey Justin Peterson on 2006-05-06.
As of what date were the details pertaining to Jeffrey Justin Peterson last refreshed?
The information related to the Jeffrey Justin Peterson, including its address, specialty, and other relevant details, was last updated on 2019-05-06.
NPI Number: 1962405878
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