| Doctor Name: | DAVID ROBERT PECK |
| NPI Number: | 1063663326 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 1660 |
| Business Practice Address: | 1515 River Pl Ste 280 Braselton, GA - 305175602 |
| Business Phone Number: | 6782074477 |
| Business Fax Number: | 6782074478 |
| Mailing Address: | Po Box 658, GAINESVILLE |
| State: | GA |
| Postal Code: | 305030658 |
| Phone Number: | 7707181122 |
| Fax Number: | 7705357445 |
| NPI Enumeration Date: | 10/06/2008 |
| NPI Last Update Date: | 10/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | 1660 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |