Individual
KALEY PEACOCK THRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
121 N CREST BLVD, MACON, GA 31210-1845
(478) 841-9333
Mailing address
460 MALL BLVD STE B, SAVANNAH, GA 31406-4891
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN249060
GA
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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