Organization
TRUSTED MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LAWSON PEPPIATT DNP (NURSE EXECUTIVE)
(203) 687-5455
Entity
Organization
Contact information
Practice address
185 GEORGIA AVE E, FAYETTEVILLE, GA 30214-1615
(404) 301-4908
Mailing address
185 GEORGIA AVE E, FAYETTEVILLE, GA 30214-1615
(404) 301-4908
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208600000X
Surgery Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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