Individual
WESLEY PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-4140
(843) 792-1414
Mailing address
PO BOX 23469, NEW YORK, NY 10087-3469
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
25265
SC
367500000X
Certified Registered Nurse Anesthetist
265546827
TN
367500000X
Certified Registered Nurse Anesthetist
28258077A
IN
Other
Enumeration date
11/27/2019
Last updated
10/11/2022
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