BENJAMIN A PEACOCK

AUGUSTA, GA
NPI1558432195
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: GA  RN062442)
Enumeration Date2006-11-13
Last Update Date2008-06-15
Business Address
-- BENJAMIN A PEACOCK CRNA
1120 15TH ST ROOM 2144
AUGUSTA, GA 30912-0004
Phone number: 706-721-3873
Mailing Address
-- BENJAMIN A PEACOCK CRNA
PO BOX 28068
CHATTANOOGA, TN 37424-8068
Phone number: 877-899-1033
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