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DR. PETER KEITH RE M.D. NPI 1124111208


NPI Information

NPI: 1124111208
Provider Name: DR. PETER KEITH RE, M.D.
Classification: Neuromusculoskeletal Medicine & OMM - 204D00000X
Entity Type: Individual
Address:
780 CANTON ROAD NE
SUITE 400
MARIETTA, GA
ZIP 30060
Phone: (770) 422-3602
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DR. Peter Keith Re, M.D. is a neuromusculoskeletal medicine omm in Marietta, GA. The provider is the Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician directs special attention to the neuromusculoskeletal system and its interaction with other body systems. Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine, and integrates each of these into the management of pediatric, adolescent, adult, and geriatric patients. DR. Peter Keith Re, M.D. NPI is 1124111208. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

780 CANTON ROAD NE
SUITE 400
MARIETTA, GA
ZIP 30060-241
Phone: (770) 422-3602
Fax: (770) 421-6115

The enumeration date for this NPI number is 10/2/2006 and was last updated on 10/19/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1204D00000XNeuromusculoskeletal Medicine & OMM011454GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D30576MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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