Peckham, Richard Anthony

Peckham, Richard Anthony is an individual health care provider with primary practice located at 3015 Veterans Pkwy S , Moultrie GA 31788-6705. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Peckham, Richard Anthony can be contacted via phone (229) 985-4815.

Contact Information

Primary practice address
3015 Veterans Pkwy S Moultrie GA 31788-6705
Phone: (229) 985-4815
Fax: (229) 890-6777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN162464 Georgia

Profile Details

NPI number 1174964357
LBN Legal business name Peckham, Richard Anthony
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2013
Last updated Jul 16th, 2013 - about 11 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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