MATTHEW SHANE PETERSON

KENNESAW, GA
NPI1255319828
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: GA  85640)
Additional Taxonomies207V00000X Obstetrics & Gynecology
(Licence: NC  200200772)
Enumeration Date2006-01-04
Last Update Date2025-01-22
Business Address
Dr. MATTHEW SHANE PETERSON M.D
750 TOWNPARK LN NW
KENNESAW, GA 30144-5579
Phone number: 404-365-0966
Mailing Address
Dr. MATTHEW SHANE PETERSON M.D
750 TOWNPARK LN NW
KENNESAW, GA 30144-5579
Phone number: 404-365-0966