Individual
DR. RONALD THOMAS PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3634 WHEELER RD, AUGUSTA, GA 30909-6518
(706) 860-8228
(706) 860-7222
Mailing address
3634 WHEELER RD, AUGUSTA, GA 30909-6518
(706) 860-8228
(706) 860-7222
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
GA007367
GA
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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