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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROLAND LEE PECKHAM JR.

Active Sole Proprietor

ROLAND LEE PECKHAM JR. is a Student (Health Education/Training) healthcare provider located in FORT GORDON, Georgia. NPI 1104146224 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · FORT GORDON, GA

Registration Details

NPI Number
1104146224
Provider Type
Individual
Gender
Male
NPI Issued
Jun 11, 2010 (16.146403501584 yrs)
Last Updated
Jun 11, 2010
Sole Proprietor
Yes

Practice Information

Address
300 W HOSPITAL RD
FORT GORDON, GA, 309055741
Browse GA providers · Browse ZIP 30905
Phone
5135199281
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in FORT GORDON, GA

Name Credential NPI
TAWA SEABROOK 1194980276
MS. KIMBERLY ANN HANRAHAN-HAVERN M.A., ATR-BC 1104254614
DR. RYAN M SLATTERY D.O 1720531023
SENTHIL MUDALIAR MD 1588187322
RHIANNA FLOHR 1033632674
ANDREW ANKLOWITZ MD 1033774997
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.