Peacock, Barbara T

Peacock, Barbara T is an individual health care provider with primary practice located at 101 Harris Industrial Blvd Ste C, Vidalia GA 30474-8852. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Peacock, Barbara T can be contacted via phone (912) 537-1014.

Contact Information

Primary practice address
101 Harris Industrial Blvd Ste C Vidalia GA 30474-8852
Phone: (912) 537-1014
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R085963 Georgia

Profile Details

NPI number 1477516680
LBN Legal business name Peacock, Barbara T
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated May 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477516680 NPPES
Georgia MEDICAID 000845115B

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