Kevin C Peterson Od PC

NPI #1326392036 in Alpharetta, Georgia

Provider Information

NPI Number: 1326392036
Entity Type: Organization
Organization Name: Kevin C Peterson Od PC
Primary Specialty: Optometrist
Enumeration Date: Nov 2, 2012
Last Updated: Nov 2, 2012

Practice Location

Address: 1845 LOCKEWAY DR
Address 2: SUITE 401
City: Alpharetta
State: Georgia
ZIP Code: 30004-5936
Phone: (770) 664-5580

Authorized Official

Name: DR. KEVIN C PETERSON
Title: PRESIDENT
Phone: (770) 664-5580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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