Individual
NANCY ELIZABETH PECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
2753 GOODFELLOWS RD, TUCKER, GA 30084-2705
(770) 414-8168
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN066666
GA
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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