Individual
JERE DILLON PEAK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009-2280
(770) 643-5619
Mailing address
2105 E SOUTH BLVD, MONTGOMERY, AL 36116-2409
(770) 643-5619
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-106280
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-106280
AL
Other
Enumeration date
12/10/2015
Last updated
08/11/2021
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