MR. GRANT ALLEN PEACOCK PT NPI 1942411699

NPI Information

MR. Grant Allen Peacock, PT is a specialist in Tucker, GA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Grant Allen Peacock, PT NPI is 1942411699. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2627 CHURCHWELL LN
TUCKER, GA
ZIP 30084-412
Phone: (770) 491-8511
Fax: (770) 491-6914

The enumeration date for this NPI number is 5/24/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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