Peacock, John David
Peacock, John David is an sole proprietor health care provider with primary practice located at 24 Waleska St , Canton GA 30114-2739. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Peacock, John David can be contacted via phone (770) 479-5569.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | DN008073 | Georgia |
Profile Details
NPI number | 1306982921 |
---|---|
LBN Legal business name | Peacock, John David |
Credentials | DDS, FAGD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jan 30th, 2007 |
Last updated | May 20th, 2015 - about 9 years ago |
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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