Provider Demographics
NPI:1740933779
Name:PETERS, SAMUEL ARMSTRONG III (ND)
Entity type:Individual
Prefix:DR
First Name:SAMUEL
Middle Name:ARMSTRONG
Last Name:PETERS
Suffix:III
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:501 HIGHWAY 138 SW STE 6
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-3905
Mailing Address - Country:US
Mailing Address - Phone:855-764-4473
Mailing Address - Fax:678-261-1601
Practice Address - Street 1:501 HIGHWAY 138 SW STE 6
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-3905
Practice Address - Country:US
Practice Address - Phone:855-764-4473
Practice Address - Fax:678-261-1601
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-31
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath