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Individual

JOSEPH PEEPLES IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ALC

Contact information

Practice address
39 PRIVATE ROAD 1201, NEW BROCKTON, AL 36351-7910
(334) 330-0060
Mailing address
39 PRIVATE ROAD 1201, NEW BROCKTON, AL 36351-7910
(334) 330-0060

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C2469C
AL

Other

Enumeration date
03/22/2023
Last updated
03/22/2023
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