| Drs. Peacock & Rafoth, P.c. | |
|
3634 Wheeler Rd Augusta GA 30909-6518 | |
| (706) 860-8228 | |
| (706) 860-7222 |
| Full Name | Drs. Peacock & Rafoth, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 3634 Wheeler Rd, Augusta, Georgia |
| Authorized Official Name and Position | Claire Shivers (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 7068608228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs. Peacock & Rafoth, P.c. 3634 Wheeler Rd Augusta GA 30909-6518 Ph: (706) 860-8228 | Drs. Peacock & Rafoth, P.c. 3634 Wheeler Rd Augusta GA 30909-6518 Ph: (706) 860-8228 |
| NPI Number | 1548205636 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548205636 | NPI | - | NPPES |
| 889584 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN007367 (Georgia) | Primary |
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