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ROLAND LEE PECKHAM JR.
NPI 1104146224
Student in an Organized Health Care Education/Training Program in Fort Gordon, GA

Active since June 11, 2010
300 W HOSPITAL RD, FORT GORDON, GA 30905(513) 519-9281 Get Directions Write a Review

NPPES record last updated: June 11, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roland Lee Peckham Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROLAND LEE PECKHAM JR. (NPI 1104146224) is an individual student in an organized health care education/training program in Fort Gordon, Georgia and active in the NPI registry since June 2010.

NPPES Registry Identity

NPI1104146224
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameROLAND LEE PECKHAM JR.
Location Address300 W HOSPITAL RDFort Gordon, GA 30905-5741
Mailing Address4517 Castle Rock RdAugusta, GA 30909-4002
Phone(513) 519-9281
Sole ProprietorYes
Enumeration DateJune 11, 2010
✔ NPI 1104146224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

300 W HOSPITAL RD, Fort Gordon, GA 30905
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SCOTT WILLIAM BOYER P.T., DPT, OCS
Physical Therapist
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-1024
MS. JANIS C RAYNOR LCSW
Social Worker (Clinical)
300 W HOSPITAL RD, DDEAMC
FORT GORDON, GA 30905
Richmond County (706) 787-9186
DR. LEO MORRIS JOSEPH MD
Internal Medicine
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-2720
DANA JENKINS FNP
Nurse Practitioner (Adult Health)
300 W HOSPITAL RD, CONNELLY HEALTH CLINIC
FORT GORDON, GA 30905
Richmond County (706) 787-5161
DR. GREGORY J SENGSTOCK MD PHD
Psychiatry & Neurology (Vascular Neurology)
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-1335
DWIGHT D. EISENHOWER HOSPITAL, FORT GORDON
Military Hospital
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-2920
NEELY HUDSON PHARM.D.
Pharmacist
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-5811
BRENDA CLEVELAND
Registered Nurse (Pain Management)
300 W HOSPITAL RD
FORT GORDON, GA 30905
Richmond County (706) 787-2552

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roland Peckham's NPI number?

The NPI number for Roland Peckham is 1104146224. It was assigned to this individual provider in the NPPES registry on June 11, 2010.

Where is Roland Peckham located?

Roland Peckham practices at 300 W Hospital Rd, Fort Gordon, GA 30905. The listed phone number is (513) 519-9281.

What is Roland Peckham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Roland Peckham was last updated on June 11, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.