Dr. Letty Revell Peterson, MD
Dr. Letty Revell Peterson, MD practises Dermatology in Vidalia, Georgia. Graduated from Medical College of Georgia School of Medicine in 2007, 19 years ago. Practices with Peterson Dermatology, PC, a 4-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 19
- Trained at
- Medical College of Georgia School of Medicine
- Licensed in
- GA
- In the registry since
- 2007
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
305 First St WVidalia, GA 30474-7201 Not confirmed with CMS for 13 years — call before visiting
Phone: (912) 538-9080
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 058913 (GA) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence 058913 (GA) |
| Pediatric Dermatology Physician | Taxonomy 207NP0225X · Licence 058913 (GA) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence 058913 (GA) |
Record details
| NPI number | 1760507974 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | March 20, 2007 |
| Last updated in NPPES | October 22, 2012 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE |
| Graduated | 2007 (19 years in practice) |
| Group practice | Peterson Dermatology, P.C. — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Vidalia
-
Lewis R. Collins, Jr , MD, P. C.
1013 E 1st St, Vidalia, GA 30474-4227 · (912) 538-7702
-
Peterson Dermatology, PC
305 W 1st St, Vidalia, GA 30474-3302 · (912) 538-9080