Female

Diana L. Peck APRN, AGACNP-BC

Critical Care Medicine Nurse Practitioner in Atlanta, GA(View on Map)

Full Name

Diana Layce Carbone Peck APRN, AGACNP-BC

NPI Number

1184253387

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/08/2020

Specialties

(Taxonomies)

Code

363LC0200X
363LA2100X
163W00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Georgia

License Number

RN210017

Contact
Information

Purpose

Mailing
Location

Address

1649 MOHAWK PL SE
80 JESSE HILL JR DR SE

City

Smyrna
Atlanta

State

GA
GA

Postal Code

30080-4538
30303-3050

Country

US
US

Telephone Number

(678) 588-5449
(404) 616-8525

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/05/2024

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