Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RANDALL ERIK PETERSON, M.D.
ActiveDR. RANDALL ERIK PETERSON, M.D. is a Family Medicine healthcare provider located in GROVETOWN, Georgia. NPI 1902124308 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · GROVETOWN, GA
Registration Details
- NPI Number
- 1902124308
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 10, 2010 (16.116308150398 yrs)
- Last Updated
- Mar 21, 2024
- Licenses
-
72759 (GA)14-036 (GA)
Practice Information
- Address
-
4039 GATEWAY BLVDGROVETOWN, GA, 308133195Browse GA providers · Browse ZIP 30813
- Phone
- 7069221600
- Fax
- 7069221010
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in GROVETOWN, GA
| Name | Credential | NPI |
|---|---|---|
| DR. PAUL M FISCHER | MD | 1891738183 |
| DR. ROBERT A SUYKERBUYK | MD | 1043254915 |
| DR. MICHAEL S. FRIEDMAN | MD | 1962562355 |
| DR. JENNIFER PORTER HERBERT | M.D. | 1417077355 |
| MRS. SUZANNE NURIYE ABBASI | MD | 1285125310 |
| TENEISHA SHAVAUGH JORDAN | MD | 1558857045 |
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.