Dr. Peter Keith Re
Neuromusculoskeletal Medicine (NMM)
780 Canton Road Ne Suite 400
Marietta
, Georgia 30060-7241
Dr. Peter Keith Re
Neuromusculoskeletal Medicine (NMM)
780 Canton Road Ne Suite 400
Marietta
, Georgia 30060-7241
(770) 421-6115
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Dr. Peter Keith Re
- 780 Canton Road Ne Suite 400
- Marietta, GA
- Zip : 30060-7241
- Fax : (770) 421-6115
- Phone : (770) 422-3602
Second Address
- Dr. Peter Keith Re
- 780 Canton Road Ne Suite 400
- Marietta, GA
- Zip : 30060-7241
- Fax : (770) 421-6115
- Phone : (770) 422-3602
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 011454 | GA |
National Provider Identifier
| NPI | 1124111208 |
|---|---|
| Provider Name | Dr. Peter Keith Re |
| First Address | Marietta, GA 30060-7241 |
| Second Address | Marietta, GA 30060-7241 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 19/10/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D30576 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.