Individual
AERYN EASTERLING PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
908 20TH ST S, BIRMINGHAM, AL 35205-2610
(205) 934-1917
Mailing address
1824 BRIAR MEADOW RD, IRONDALE, AL 35210-2610
(205) 410-2977
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-116391
AL
Other
Enumeration date
04/05/2018
Last updated
06/29/2023
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