Doctor Name: | MARGARET ANN PEASE |
NPI Number: | 1033196514 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN074675NP |
Business Practice Address: | 105 Walnut St Montezuma, GA - 310631902 |
Business Phone Number: | 4784724633 |
Business Fax Number: | 4784724637 |
Mailing Address: | 301 E Church St, AMERICUS |
State: | GA |
Postal Code: | 317093605 |
Phone Number: | 4042101623 |
Fax Number: | 4784724637 |
NPI Enumeration Date: | 12/27/2005 |
NPI Last Update Date: | 04/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | RN074675NP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |