Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Grant Allen Peacock III, PT

Individual provider Specialist · NPI 1942411699

Mr. Grant Allen Peacock III, PT is a Specialist in Tucker, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2627 Churchwell Ln
Tucker, GA 30084-2412
Phone: (770) 491-8511
Fax: (770) 491-6914
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence PT001863 (GA)

Record details

NPI number1942411699
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedMay 24, 2007
Last updated in NPPESJuly 8, 2007

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