Individual
PEGGY JO MCCOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
25 MOSS LN, EUHARLEE, GA 30145-2762
(770) 334-8807
Mailing address
25 MOSS LN, EUHARLEE, GA 30145-2762
(770) 334-8807
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
5148443
FL
164W00000X
Licensed Practical Nurse
77271
GA
164X00000X
Licensed Vocational Nurse
Primary
229118
TX
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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