Dr. Letty Revell Peterson, MD
Dr. Letty Revell Peterson, MD is a Dermatology in Vidalia, Georgia. Graduated from Medical College of Georgia School of Medicine in 2007, 19 years ago. Practices with Peterson Dermatology, PC, a 4-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 19
- Trained at
- Medical College of Georgia School of Medicine
- Licensed in
- GA
- In the registry since
- 2007
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
305 First St WVidalia, GA 30474-7201
Phone: (912) 538-9080
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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) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence 058913 (GA) |
| Pediatric Dermatology Physician | Taxonomy 207NP0225X · Licence 058913 (GA) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence 058913 (GA) |
Record details
| NPI number | 1760507974 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 20, 2007 |
| Last updated in NPPES | October 22, 2012 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE |
| Graduated | 2007 (19 years in practice) |
| Group practice | Peterson Dermatology, P.C. — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Vidalia
-
Lewis R. Collins, Jr , MD, P. C.
1013 E 1st St, Vidalia, GA 30474-4227 · (912) 538-7702
-
Peterson Dermatology, PC
305 W 1st St, Vidalia, GA 30474-3302 · (912) 538-9080