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Naquiesha Peterson
Prosthetics Case Management in Powder Springs, Georgia
NPI 1518592716

Naquiesha Peterson is a Prosthetics Case Management based in Powder Springs, GA and is specialized in Prosthetics Case Management. Naquiesha Peterson practices in Powder Springs, GA. The NPI Number for Naquiesha Peterson is 1518592716 and holds a License No. (Georgia).

The current practice location address for Naquiesha Peterson is 3510 Ponderosa Ln, Powder Springs, GA and can be reached out via phone at 470-339-6500.

Location: 3510 Ponderosa Ln, Powder Springs, GA, 30127-2074
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518592716
Provider Name
Naquiesha Peterson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3510 Ponderosa Ln, Powder Springs, GA, 30127-2074
Phone Number
470-339-6500
Fax Number
Provider Enumeration Date
03/08/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CO136709 01 GA PROSTHETIC SPECIALIST
institution
Provider Business Practice Location Address Details
Address
3510 Ponderosa Ln
City
Powder Springs
State
Georgia
Zip
30127-2074
Phone Number
470-339-6500
Fax Number
person
Provider Business Mailing Address Details
Address
3510 Ponderosa Ln
City
Powder Springs
State
Georgia
Zip
30127-2074
Phone Number
470-339-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
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Definition
Definition to come...
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