Individual
CORNELL TERRI PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
1955 POPPS FERRY RD, APT. M-2067, BILOXI, MS 39532-2029
(228) 257-8175
Mailing address
1955 POPPS FERRY RD, APT. M-2067, BILOXI, MS 39532-2029
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
899807
MS
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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