Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | 069372 | GA |
Y | 2086S0102X | Surgical Critical Care | 069372 | GA |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 069372 | GA |
NPI | 1043291826 |
---|---|
Provider Name | Peter Walter Barrett |
First Address | Atlanta, GA 30309-1711 |
Second Address | Atlanta, GA 30309 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2005 |
Last Update Date | 10/04/2018 |