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DR. JOHN M. PEASANT M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1376729319

Individual Registrant:
DR. JOHN M. PEASANT M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
379 HIGHWAY 239  CLAYTON, AL 36016-4618 US
Tel: 334-775-3610  Fax: 334-775-3610

Contact information for business:
379 HIGHWAY 239  CLAYTON, AL 36016-4618 US
Tel: 334-775-3610  Fax: 334-775-3610

Registration Information:
NPI: 1376729319
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
AL6600

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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