Dr CHARLES L PEACOCK is a male medical professional, specializing in Certified Registered Nurse Anesthetist (crna). He graduated in 2014.
CHILDRENS HOSPITAL ANESTHESIA CORPORATION
1101 MEDICAL CTR BLVD
MARRERO
LA
700723147
Tel: 8662148600203
| Npi | 1063548964 |
| Pac Id | 1355447202 |
| Professional Enrollment Id | I20140731001161 |
| Last Name | PEACOCK |
| First Name | CHARLES |
| Middle Name | L |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | CHILDRENS HOSPITAL ANESTHESIA CORPORATION |
| Group Practice Pac Id | 0446152862 |
| Number Of Group Practice Members | 160 |
| Line 1 Street Address | 1101 MEDICAL CTR BLVD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | MARRERO |
| State | LA |
| Zip Code | 700723147 |
| Phone Number | 8662148600203 |
| Hospital Affiliation Ccn 1 | 190267 |
| Hospital Affiliation Lbn 1 | FAIRWAY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 190039 |
| Hospital Affiliation Lbn 2 | WEST JEFFERSON MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | 190005 |
| Hospital Affiliation Lbn 3 | UNIVERSITY MEDICAL CENTER NEW ORLEANS |
| Hospital Affiliation Ccn 4 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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