Individual
COLLEEN WOOD PEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1841 CLIFTON RD, 3RD FLOOR, ATLANTA, GA 30322-0001
(404) 778-3444
Mailing address
2322 CARRINGTON WAY SE, MARIETTA, GA 30067-7114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN082058 NP
GA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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