Individual
TARVIS PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-5105
Mailing address
1616 PHYSICIANS DR, TALLAHASSEE, FL 32308-4619
(850) 431-5105
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME155127
FL
Other
Enumeration date
04/01/2020
Last updated
07/01/2024
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