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Individual

JAMES SAMUEL PEEPLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8600
(678) 843-8601
Mailing address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8600
(678) 843-8601

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DN007785
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000115937D
GA
Enumeration date
02/01/2007
Last updated
11/04/2011
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