Peacock, Amanda

Peacock, Amanda is an sole proprietor health care provider with primary practice located at 3379 Osborne Pl , Macon GA 31204-1901. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as her primary health care specialty. Peacock, Amanda can be contacted via phone (478) 390-4141.

Contact Information

Primary practice address
3379 Osborne Pl Macon GA 31204-1901
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 171063 Georgia

Profile Details

NPI number 1740732924
LBN Legal business name Peacock, Amanda
Credentials CSFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 3rd, 2016
Last updated Jul 18th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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