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1851343743
BERRY LAWRENCE PETERSON
ATLANTA, GA
NPI
1851343743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: GA 113166)
Enumeration Date
2006-05-17
Last Update Date
2011-10-31
Business Address
BERRY LAWRENCE PETERSON CPNP
1405 CLIFTON RD NE SECOND FLOOR CSW
ATLANTA, GA 30322
Phone number: 404-785-1587
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Mailing Address
BERRY LAWRENCE PETERSON CPNP
105 NORMANDY DRIVE
FAYETTEVILLE, GA 30214
Phone number: 770-719-2005
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