Individual
COREY D PEEPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
408 US HIGHWAY 80 SW, POOLER, GA 31322-2541
(912) 295-2133
Mailing address
5629 HWY 21 S, RINCON, GA 31326-9416
(912) 295-2133
(912) 295-5924
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN216997
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN216997
GEORGIA NP LICENSE NUMBER
GA
Enumeration date
02/02/2018
Last updated
06/07/2023
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