John Peacock, DDS, FAGD

NPI 1306982921 · on the registry since 2007 · sole proprietor

Practice

Address: 24 Waleska St
Canton, GA 30114
Phone: (770) 479-5569
Organisation at this address: Greg Elwell, D.M.D., P.C.
Logan Family Chiropractic Pc
Preferred Psychological Service, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-05-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia