Roland Lee Peckham Jr.
Roland Lee Peckham Jr. is a Student in an Organized Health Care Education/Training Program in Fort Gordon, Georgia. Practices as a sole proprietor. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
300 W Hospital RdFort Gordon, GA 30905-5741
Phone: (513) 519-9281
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1104146224 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 11, 2010 |
| Last updated in NPPES | June 11, 2010 |
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