Provider Demographics
NPI:1689743650
Name:CURRAN, PEGGY E (PT)
Entity Type:Individual
Prefix:
First Name:PEGGY
Middle Name:E
Last Name:CURRAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BENJAMIN DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-3268
Mailing Address - Country:US
Mailing Address - Phone:706-540-6551
Mailing Address - Fax:706-548-7898
Practice Address - Street 1:200 BENJAMIN DR
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-3268
Practice Address - Country:US
Practice Address - Phone:706-540-6551
Practice Address - Fax:706-548-7898
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000756225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00805483BMedicaid