Individual
KATYLIA PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(678) 469-0045
Mailing address
1136 OLD GREYSTONE DR, LITHONIA, GA 30058-9095
(678) 469-0045
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN295328
GA
Other
Enumeration date
05/03/2021
Last updated
05/03/2021
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