1760856645 363L00000X

Nursing Facility/Intermediate Care Facility

Active

Basic Information

Organization Name
363L00000X
Enumeration Date
November 16, 2015
Last Update
November 16, 2015
Authorized Official
MRS. ANETHA DEBORAH PETERSON
NURSE PRACTITIONER
Phone: (678) 464-9424

Practice Location

Address
2171 PEACHTREE RD NE
APT 306
ATLANTA, GA 303096300
Phone
(678) 464-9424

Mailing Address

Address
2171 PEACHTREE RD NE
APT 306
ATLANTA, GA 303096300
Phone
(678) 464-9424

Specialties & Taxonomies

Specialty Code Classification License State Primary
Nursing Facility/Intermediate Care Facility
 313M00000X Nursing Facility/Intermediate Care Facility 363L00000X GA Primary

Frequently Asked Questions

What is 363L00000X's NPI number?
363L00000X's NPI number is 1760856645.
Which doctor has NPI number 1760856645?
The doctor with NPI number 1760856645 is 363L00000X.
What is 363L00000X's practice address?
363L00000X's practice address is 2171 PEACHTREE RD NE, APT 306, ATLANTA, GA, 303096300.
Which doctor practices at 2171 PEACHTREE RD NE, APT 306, ATLANTA, GA, 303096300?
363L00000X practices at 2171 PEACHTREE RD NE, APT 306, ATLANTA, GA, 303096300.
What is 363L00000X's phone number?
363L00000X's phone number is (678) 464-9424.
Who is (678) 464-9424?
(678) 464-9424 is the phone number for 363L00000X.
What is 363L00000X's specialty?
363L00000X's specialty is Nursing Facility/Intermediate Care Facility.
What type of doctor is 363L00000X?
363L00000X is a Nursing Facility/Intermediate Care Facility.
Is 363L00000X a Nursing Facility/Intermediate Care Facility?
Yes, 363L00000X is a Nursing Facility/Intermediate Care Facility.
Is 363L00000X still practicing?
Yes, 363L00000X is currently practicing.
Is 363L00000X accepting new patients?
363L00000X may be accepting new patients. Please call their office at (678) 464-9424 to inquire about availability.
Is NPI 1760856645 still active?
Yes, NPI 1760856645 is currently active.
Where does 363L00000X practice?
363L00000X practices in ATLANTA, GA.