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Individual
MRS. PEGGY WEBB BOOHER
Active
Individual
MRS. PEGGY WEBB BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN076497 NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10037015
AMERIGROUP
GA
05
—
877805218B
—
GA
Enumeration date
08/31/2006
Last updated
06/22/2011
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