DEIDRE CELESTE PEACOCK

TIFTON, GA
NPI1982094298
Former NameDEIDRE CELESTE DORMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN176798)
Enumeration Date2015-01-26
Last Update Date2023-05-04
Business Address
Mrs. DEIDRE CELESTE PEACOCK NP
39 KENT RD STE 2
TIFTON, GA 31794-1697
Phone number: 229-388-9393
Mailing Address
Mrs. DEIDRE CELESTE PEACOCK NP
39 KENT RD STE 2
TIFTON, GA 31794-1697
Phone number: 229-388-9393
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