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Michael Peck
NPI 1659000198 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2413 Bluff Creek Overlook
Douglasville, GA 30135 - Phone
- (205) 914-8159
- Organisation at this address
- Juanitas Haven
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Sex
- Male
- Record last updated
- 2022-06-09
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