Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kristofor Mikael Peterson, DC

Individual provider Chiropractor · NPI 1205972304

Dr. Kristofor Mikael Peterson, DC is a Chiropractic in Atlanta, Georgia. Qualified in 2003, 23 years ago. Licensed in Georgia.

Years since qualifying
23
Licensed in
GA
In the registry since
2007
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

587 Virginia Ave NE Ste 4
Atlanta, GA 30306-3695
Phone: (404) 477-7911
Fax: (404) 477-0750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIR007503 (GA)

Record details

NPI number1205972304
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 29, 2007
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Not indicated

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