Individual
MRS. ALICA ANN PEAVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
400 TOWER RD NE, SUITE 350, MARIETTA, GA 30060-6955
(770) 590-1078
(770) 422-7306
Mailing address
400 TOWER RD NE, SUITE 350, MARIETTA, GA 30060-6955
(770) 590-1078
(770) 422-7306
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN143241 NP
GA
Other
Enumeration date
11/19/2007
Last updated
04/14/2008
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