Peterson Dermatology, PC
Peterson Dermatology, PC is a Dermatology Physician in Vidalia, Georgia. Licensed in Georgia. Registered with an NPI since 2007.
- Licensed in
- GA
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
305 W 1st StVidalia, GA 30474-3302
Phone: (912) 538-9080
Fax: (912) 538-9085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 058913 (GA) |
|---|---|
| Pediatric Dermatology Physician | Taxonomy 207NP0225X · Licence 058913 (GA) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence 058913 (GA) |
Record details
| NPI number | 1932300886 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Letty Peterson — Dermatologist · (912) 538-9080 |
| NPI enumerated | May 29, 2007 |
| Last updated in NPPES | September 20, 2013 |
| Mailing address | 305 W 1st St, Vidalia, GA 30474-3302 |
Other providers in Vidalia
-
Lewis R. Collins, Jr , MD, P. C.
1013 E 1st St, Vidalia, GA 30474-4227 · (912) 538-7702
-
Dr. Letty Revell Peterson, MD
305 First St W, Vidalia, GA 30474-7201 · (912) 538-9080