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 |