Individual
JUSTIN CLINT MCPEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2230 TOWNE LAKE PKWY, WOODSTOCK, GA 30189-5584
(770) 676-7887
Mailing address
8605 EVES RD, ROSWELL, GA 30076-3300
(205) 435-1565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN235357
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN235357
GA
Other
Enumeration date
05/18/2015
Last updated
02/26/2025
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