Ronald Thomas Peacock in Augusta - Oral And Maxillofacial Surgery
Ronald Thomas Peacock - NPI 1205022779
Ronald Thomas Peacock is a Oral And Maxillofacial Surgery in Augusta, Georgia. Ronald Thomas Peacock practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Ronald Thomas Peacock is 1205022779. The last update date is 2007-09-19.
Ronald Thomas Peacock's current location address is 3634 Wheeler Rd, Augusta, Georgia. You can contact this provider via phone number 7068608228 and fax number 7068607222. The mailing address for Ronald Thomas Peacock is 3634 Wheeler Rd, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ronald Thomas Peacock |
|---|---|
| Address | 3634 Wheeler Rd, Augusta, Georgia |
| Phone Number | 7068608228 |
| Fax Number | 7068607222 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1205022779 |
|---|---|
| Provider Enumeration Date | 2007-09-19 |
| Last Updated Date | 2007-09-19 |
Provider Mailing Address Detail
| Address | 3634 Wheeler Rd |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309096518 |
| Phone Number | 7068608228 |
| Fax Number | 7068607222 |
Provider's Primary Taxonomy Detail
| Speciality | Oral And Maxillofacial Surgery |
|---|---|
| Taxonomy | 1223S0112X |
| Licence No | GA007367 |
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Definition: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
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What is the unique identifier code issued to Ronald Thomas Peacock by the Centers for Medicare & Medicaid Services?
The Ronald Thomas Peacock has been assigned the NPI (National Provider Identifier) 1205022779. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ronald Thomas Peacock's physical address?
The Ronald Thomas Peacock is physically located at 3634 Wheeler Rd, in the city of Augusta, GA, with the postal code 309096518.
What is Ronald Thomas Peacock's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Ronald Thomas Peacock is Oral And Maxillofacial Surgery, and the taxonomy classification code that categorizes this area of expertise is 1223S0112X.
On what date did the Ronald Thomas Peacock receive its 1205022779 assignment from the Centers for Medicare & Medicaid Services?
The Ronald Thomas Peacock was assigned its 1205022779 by the Centers for Medicare & Medicaid Services on 2007-09-19.
When was the information pertaining to Ronald Thomas Peacock most recently updated or revised?
The details related to Ronald Thomas Peacock, including its address, specialty, and other relevant information, were last updated or revised on 2007-09-19.