Individual
MS. DOROTHY M PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 759-7352
(205) 759-6397
Mailing address
435 39TH ST, NORTHPORT, AL 35473-2773
(205) 333-2520
(205) 759-6397
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-020578
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-020578
AL
Other
Enumeration date
06/03/2006
Last updated
11/02/2010
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