Individual
JUSTEN EDGAR PECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Mailing address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
GA 133416
GA
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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