Provider Demographics
NPI:1326433491
Name:PEITZMAN, EMILY (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:PEITZMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2380 HOSEA WILLIAMS DRIVE NE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30317
Mailing Address - Country:US
Mailing Address - Phone:404-738-6850
Mailing Address - Fax:404-868-5191
Practice Address - Street 1:2380 HOSEA WILLIAMS DRIVE NE
Practice Address - Street 2:SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30317
Practice Address - Country:US
Practice Address - Phone:404-738-6850
Practice Address - Fax:404-868-5191
Is Sole Proprietor?:No
Enumeration Date:2015-04-05
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA93365208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA148421OtherSTATE MEDICAL LICENSE