BERRY LAWRENCE PETERSON

ATLANTA, GA
NPI1851343743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: GA  113166)
Enumeration Date2006-05-17
Last Update Date2011-10-31
Business Address
-- BERRY LAWRENCE PETERSON CPNP
1405 CLIFTON RD NE SECOND FLOOR CSW
ATLANTA, GA 30322
Phone number: 404-785-1587
Mailing Address
-- BERRY LAWRENCE PETERSON CPNP
105 NORMANDY DRIVE
FAYETTEVILLE, GA 30214
Phone number: 770-719-2005
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