Peacock, Samantha Joelle

Peacock, Samantha Joelle is an individual health care provider with primary practice located at 3455 Peachtree Pkwy Ste 206 , Suwanee GA 30024. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Peacock, Samantha Joelle can be contacted via phone (678) 473-1081.

Contact Information

Primary practice address
3455 Peachtree Pkwy Ste 206 Suwanee GA 30024
Phone: (678) 473-1081
Fax: (678) 473-1082
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 2124615 Texas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1750831103
LBN Legal business name Peacock, Samantha Joelle
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2016
Last updated May 24th, 2018 - about 7 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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