CHARLES LEROY PEACOCK

LAWRENCEVILLE, GA
NPI1063548964
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN182133 CRNA)
Enumeration Date2007-02-26
Last Update Date2007-07-08
Business Address
Mr. CHARLES LEROY PEACOCK CRNA
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30045-7694
Phone number: 678-442-4321
Mailing Address
Mr. CHARLES LEROY PEACOCK CRNA
840 CONNELL LN
LAWRENCEVILLE, GA 30044-6123
Phone number: 770-736-5173
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