Charles Leroy Peacock in Lawrenceville - Nurse Anesthetist, Certified Registered
Charles Leroy Peacock - NPI 1063548964
Charles Leroy Peacock is a Nurse Anesthetist, Certified Registered in Lawrenceville, Georgia. Charles Leroy Peacock practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Charles Leroy Peacock is 1063548964. The last update date is 2007-07-08.
Charles Leroy Peacock's current location address is 840 Connell Ln, Lawrenceville, Georgia. You can contact this provider via phone number 7707365173. The mailing address for Charles Leroy Peacock is 840 Connell Ln, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Leroy Peacock |
|---|---|
| Address | 840 Connell Ln, Lawrenceville, Georgia |
| Phone Number | 7707365173 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1063548964 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 840 Connell Ln |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300446123 |
| Phone Number | 7707365173 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | RN182133 CRN |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Post Comment/ Review Below
What is the Charles Leroy Peacock's unique identification number?
The Charles Leroy Peacock has been assigned the NPI (National Provider Identifier) Number 1063548964 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Charles Leroy Peacock is physically located?
The Charles Leroy Peacock is physically situated at the following address: 840 Connell Ln, Lawrenceville, GA, 300446123.
What is Charles Leroy Peacock's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Charles Leroy Peacock is Nurse Anesthetist, Certified Registered, and the taxonomy code that classifies this field of practice is 367500000X.
On what date was the 1063548964 assigned to Charles Leroy Peacock?
The Charles Leroy Peacock was issued its 1063548964 on 2007-02-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Charles Leroy Peacock most recently updated or refreshed?
The details pertaining to the Charles Leroy Peacock, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.