Individual
DIANE SUSAN PEASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,FNP
Contact information
Practice address
18 RIVERBEND DR SW, SUITE 230, ROME, GA 30161-6013
(706) 291-2999
(706) 291-4006
Mailing address
453 MOUNTAIN VIEW RD SE, ROME, GA 30161-8537
(706) 234-2956
(706) 291-4006
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN113917
GA
Other
Enumeration date
03/12/2007
Last updated
02/15/2010
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