Individual
KIMBERLY H PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4015 VETERANS CT STE C, COLUMBUS, GA 31909-2540
(706) 221-7005
Mailing address
4015 VETERANS CT STE C, COLUMBUS, GA 31909-2540
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN230391
GA
Other
Enumeration date
05/24/2017
Last updated
05/29/2025
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