Individual provider · Type 1 NPI

Mary Kathryn Peabody, PA-C

Surgical Physician Assistant · Johns Creek, GA

NPI number 1609459577 Active

Practice location

10730 Medlock Bridge Rd
Johns Creek, GA 30097-2637

Mailing address

PO Box 628231 Mail Code: 5068
Orlando, FL 32862-8231

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X10377 (GA)
Surgical Physician Assistant 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1609459577

Mary Kathryn Peabody, PA-C's National Provider Identifier is 1609459577, issued on Apr 29, 2021. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Johns Creek, GA. The record was last updated on Dec 12, 2022.