Individual
MR. HARRY MALLETTE PEAGLER IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
304 TURNER MCCALL BLVD SW, ROME, GA 30165-5621
(706) 509-5000
Mailing address
2203 CLARIDGE DR SE, ROME, GA 30161-8580
(912) 470-9764
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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