NPI 1124111208

Peter Keith Re, MD

Practitioner Neuromusculoskeletal Medicine & OMM Physician Marietta, GA

Practice location

Address: 780 Canton Road NE Suite 400, Marietta, GA 30060-7241
Phone: (770) 422-3602
Fax: (770) 421-6115

Registered specialties

Neuromusculoskeletal Medicine & OMM Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 011454 (GA)

Other Neuromusculoskeletal Medicine & OMM providers in Georgia →

Registry record

NPI: 1124111208
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Oct 2006
Record last updated: 19 Oct 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.