Individual
PEYTON ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-7000
Mailing address
PO BOX 71801, NEWNAN, GA 30271-1801
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN-NP278647
GA
363LA2100X
Acute Care Nurse Practitioner
APRN-NP278647
GA
Other
Enumeration date
09/30/2025
Last updated
03/24/2026
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