Individual provider · Type 1 NPI
Kristofor Mikael Peterson, DC
Chiropractor · Atlanta, GA
NPI number
1205972304
Active
Practice location
587 Virginia Ave NE, Ste 4
Atlanta, GA 30306-3695
Fax (404) 477-0750
Mailing address
1638 Delia Dr
Decatur, GA 30033-3318
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | CHIR007503 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1205972304
Kristofor Mikael Peterson, DC's National Provider Identifier is 1205972304, issued on Jan 29, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.