| Andre Peterson, | |
|
2855 Suwanee Lawrenceville Rd, Suwanee, GA 30024-3563 | |
| (770) 394-9055 | |
| Not Available |
| Full Name | Andre Peterson |
|---|---|
| Gender | Male |
| Speciality | Licensed Practical Nurse |
| Location | 2855 Suwanee Lawrenceville Rd, Suwanee, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902569874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 098977 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Andre Peterson, 2058 Amber Trl, Duluth, GA 30096-4935 Ph: (917) 549-6511 | Andre Peterson, 2855 Suwanee Lawrenceville Rd, Suwanee, GA 30024-3563 Ph: (770) 394-9055 |
Kimberly Cesario, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2855 Lawrenceville Suwanee Rd, Suwanee, GA 30024 Phone: 770-904-3955 | |
Shanna Anita Davis, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2855 Lawrenceville Suwanee Rd Ste 310-330, Suwanee, GA 30024 Phone: 770-904-3955 | |
Courtney Burley, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2855 Lawrenceville Suwanee Rd Ste 310-330, Suwanee, GA 30024 Phone: 770-904-3955 |