Barbara T Peacock, FNP
Nurse Practitioner in Vidalia, GA. Individual provider (NPI-1).
NPI number1477516680
StatusActive
Last updated in NPPESMay 16, 2022
Details
- NPI
- 1477516680
- Entity type
- Individual (NPI-1)
- Name
- Barbara T Peacock
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2006
- Certification date
- May 16, 2022
- Last updated
- May 16, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | R085963 | GA | Yes |
Practice location
101 Harris Industrial BlvdSte C
Vidalia, GA 30474-8852
Phone 912-537-1014
Mailing address
Po Box 407Vidalia, GA 30475-0407
Phone 912-537-4986
Other practice locations
1096 Bermuda Run
Statesboro, GA 30458-0858
Statesboro, GA 30458-0858
Phone 912-871-5150
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All 21 Nurse Practitioner providers in Vidalia · All 528 providers in Vidalia
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