Individual
TONYA PEAVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 BROWN SWAMP RD, CONWAY, SC 29527-3636
(843) 254-8087
Mailing address
729 BROWN SWAMP RD, CONWAY, SC 29527-3636
(843) 254-8087
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
105133
SC
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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