Individual
REGINA DENISE PEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
550 PEACHTREE ST NE STE 1220, ATLANTA, GA 30308-2237
(404) 230-5622
Mailing address
2718 KEMP CT, CONYERS, GA 30094-8901
(678) 462-5276
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
RN260174
GA
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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