| Xavier Deon Peterson, RN | |
|
260 Northern Ave, Avondale Estates, GA 30002-1214 | |
| (716) 322-9408 | |
| Not Available |
| Full Name | Xavier Deon Peterson |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse |
| Location | 260 Northern Ave, Avondale Estates, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184480444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN323385 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Xavier Deon Peterson, RN 1008 Redwood St, Port Gibson, MS 39150-2593 Ph: (716) 322-9408 | Xavier Deon Peterson, RN 260 Northern Ave, Avondale Estates, GA 30002-1214 Ph: (716) 322-9408 |
Charise Smith, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 215 Cobblestone Trl, Avondale Estates, GA 30002 Phone: 404-310-2755 | |
Ms. Karen Britain, RN,CMC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1057 Hess Dr, Avondale Estates, GA 30002 Phone: 404-323-9081 |