Search › Georgia › 174400000X
Grant Peacock, PT
NPI 1942411699 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2627 Churchwell Ln
Tucker, GA 30084 - Phone
- (770) 491-8511
- Fax
- (770) 491-6914
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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