Individual
CARL PEACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(678) 983-4479
(678) 690-8160
Mailing address
PO BOX 543, ALPHARETTA, GA 30009-0543
(678) 983-4479
(678) 690-8160
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
2333
—
Other
Enumeration date
03/17/2011
Last updated
09/01/2011
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