Provider Demographics
NPI:1235112947
Name:TROTTIER, PETER W (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:W
Last Name:TROTTIER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:320 KENNESTONE HOSPITAL BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1161
Mailing Address - Country:US
Mailing Address - Phone:770-427-2457
Mailing Address - Fax:770-427-2706
Practice Address - Street 1:320 KENNESTONE HOSPITAL BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1161
Practice Address - Country:US
Practice Address - Phone:770-427-2457
Practice Address - Fax:770-427-2706
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2011-12-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA048734207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine