Individual
KEITH J PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1968 PEACHTREE ROAD NW, ATLANTA, GA 30309
(404) 605-2800
(404) 351-5983
Mailing address
275 COLLIER ROAD, SUITE 500, ATLANTA, GA 30309
(404) 605-5516
(404) 588-2601
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
057738
GA
Other
Enumeration date
05/31/2006
Last updated
09/11/2012
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