Individual
DR. JOHN DAVID PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, FAGD
Contact information
Practice address
24 WALESKA ST, CANTON, GA 30114-2739
(770) 479-5569
Mailing address
2250 BRICK MILL RD, CANTON, GA 30115-9125
(770) 891-1904
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN008073
GA
Other
Enumeration date
01/30/2007
Last updated
05/20/2015
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