Individual
TREVA S PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNPC
Contact information
Practice address
2389 RANDOLPH STILL RD, GOOD HOPE, GA 30641-2132
(678) 431-7487
Mailing address
2389 RANDOLPH STILL RD, GOOD HOPE, GA 30641-2132
(678) 431-7487
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN281405
GA
363L00000X
Nurse Practitioner
Primary
RN281405
GA
Other
Enumeration date
11/09/2022
Last updated
01/12/2023
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