Individual provider · Type 1 NPI
Letty Revell Peterson, MD
Dermatology Physician · Vidalia, GA
Practice location
305 First St. West
Vidalia, GA 30474-7201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology Physician Primary | 207N00000X | 058913 (GA) |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 058913 (GA) |
| Pediatric Dermatology Physician | 207NP0225X | 058913 (GA) |
| Procedural Dermatology Physician | 207NS0135X | 058913 (GA) |
Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…
About NPI 1760507974
Letty Revell Peterson, MD's National Provider Identifier is 1760507974, issued on Mar 20, 2007. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Vidalia, GA. The record was last updated on Oct 22, 2012.