Individual
MRS. DEIDRE CELESTE PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
39 KENT RD STE 2, TIFTON, GA 31794-1697
(229) 388-9393
(229) 388-9855
Mailing address
39 KENT RD STE 2, TIFTON, GA 31794-1697
(229) 388-9393
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP176798
GA
Other
Enumeration date
01/26/2015
Last updated
10/13/2025
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