Individual
PEGGY HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2020 BUCKLEY TRL, SNELLVILLE, GA 30078-3484
(404) 384-1108
Mailing address
2020 BUCKLEY TRL, SNELLVILLE, GA 30078-3484
(404) 384-1108
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN188890
GA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN188890
GA
363LG0600X
Gerontology Nurse Practitioner
RN188890
GA
363LP2300X
Primary Care Nurse Practitioner
RN188890
GA
Other
Enumeration date
11/28/2017
Last updated
12/11/2018
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