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Contact Information

PETERSON ALCIDE
166 ANDERSON ST SE STE 225
MARIETTA, GA30060-1984
 Phone: 203-501-6553
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for PETERSON ALCIDE · (Male)

NPI # 1477153955
Status Active
Credentials
Entity Individual
Enumeration date 10/26/2020
Last updated 06/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • GA Medicaid 1477153955
  • GA Medicaid 1609415132
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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