Individual provider · Type 1 NPI

Berry Lawrence Peterson, CPNP

Pediatric Nurse Practitioner · Atlanta, GA

NPI number 1851343743 Active

Practice location

1405 Clifton Rd NE, Second Floor Csw
Atlanta, GA 30322

Call (404) 785-1587 Map

Fax (404) 785-1872

Mailing address

105 Normandy Drive
Fayetteville, GA 30214

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X113166 (GA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1851343743

Berry Lawrence Peterson, CPNP's National Provider Identifier is 1851343743, issued on May 17, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Atlanta, GA. The record was last updated on Oct 31, 2011.