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

Stephen Wallace Peacock

Individual provider Physical Therapy Assistant · NPI 1093516577

Stephen Wallace Peacock is a Physical Therapy Assistant in Savannah, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

2040 Colonial Dr
Savannah, GA 31406-2226
Phone: (912) 354-2752
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA003459 (GA)

Record details

NPI number1093516577
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 21, 2025
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025
Mailing address110 Richmond Walk Dr, Richmond Hill, GA 31324-6921

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