Individual
PEGGY L. BYCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6602 WATERS AVE BLDG A, SAVANNAH, GA 31406-2778
(912) 350-6000
(912) 350-6001
Mailing address
6602 WATERS AVE BLDG A, SAVANNAH, GA 31406-2778
(912) 350-6000
(912) 350-6001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
032880
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000439612D
—
GA
05
—
000439612E
—
GA
05
—
000439612F
—
GA
01
—
10063559
AMERIGROUP
GA
01
—
349731
WELLCARE
GA
01
—
4598872
AETNA
—
01
—
52506457-001
BCBS GA
GA
01
—
52506457-003
BCBS GA
GA
05
—
G32880
—
SC
01
—
P00290731
RR MEDICARE ID
GA
Enumeration date
06/03/2006
Last updated
08/08/2018
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