Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHIR008717 | GA |
N | 111NI0013X | Independent Medical Examiner | CHIR008717 | GA |
NPI | 1306155361 |
---|---|
Provider Name | Dr. David L Peer |
First Address | Hinesville, GA 31313-2709 |
Second Address | Hinesville, GA 31313-2709 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2010 |
Last Update Date | 24/04/2014 |