Individual provider · Type 1 NPI

Charles Leroy Peacock, CRNA

Certified Registered Nurse Anesthetist · Lawrenceville, GA

NPI number 1063548964 Active

Practice location

1000 Medical Center Blvd
Lawrenceville, GA 30045-7694

Mailing address

840 Connell Ln
Lawrenceville, GA 30044-6123

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XRN182133 CRNA (GA)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1063548964

Charles Leroy Peacock, CRNA's National Provider Identifier is 1063548964, issued on Feb 26, 2007. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Lawrenceville, GA. The record was last updated on Jul 8, 2007.