Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW SHANE PETERSON, M.D
ActiveDR. MATTHEW SHANE PETERSON, M.D is a Obstetrics & Gynecology healthcare provider located in KENNESAW, Georgia. NPI 1255319828 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · KENNESAW, GA
Registration Details
- NPI Number
- 1255319828
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 4, 2006 (20.59341406177 yrs)
- Last Updated
- Jan 22, 2025
- Licenses
-
200200772 (NC)85640 (GA)
Practice Information
- Address
-
750 TOWNPARK LN NWKENNESAW, GA, 301445579Browse GA providers · Browse ZIP 30144
- Phone
- 4043650966
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
- Additional Specialty
- Obstetrics & Gynecology
Other Obstetrics & Gynecology Providers in KENNESAW, GA
| Name | Credential | NPI |
|---|---|---|
| LANALEE A SAM | MD | 1134195837 |
| MRS. ANGELA S PAAS | M.D. | 1154379857 |
| BARBARA A SMITH | CNP | 1427150432 |
| ERNEST C MORELAND | MD | 1972605996 |
| JENNIFER G REWIS | CNM | 1184726192 |
| DR. TRESSA SCINEAUX HURST | MD | 1598858425 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.