Doctor Name: | RONDEY SCOTT PEAKE |
NPI Number: | 1033175583 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | NP |
License Number: | APN 2660 |
Business Practice Address: | 8311 Warren H Abernathy Hwy Spartanburg, SC - 293011249 |
Business Phone Number: | 8645625102 |
Business Fax Number: | 8645604413 |
Mailing Address: | Po Box 743070, ATLANTA |
State: | GA |
Postal Code: | 303743070 |
Phone Number: | 8645604304 |
Fax Number: | 8645604413 |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 03/30/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | APN 2660 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |