# MARK D. PEACOCK MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194995423
- **Authorized official:** DR. MARK DOUGLAS PEACOCK M.D. (OWNER)
- **Authorized official phone:** (704) 896-7005

## Contact information

- **Practice address:** 16623 BIRKDALE CMNS PKWY, SUITE 130, HUNTERSVILLE, NC 28078-5621
- **Practice address phone:** (704) 896-7005
- **Practice address fax:** (704) 896-7115
- **Mailing address:** 16623 BIRKDALE CMNS PKWY, SUITE 130, HUNTERSVILLE, NC 28078-5621
- **Mailing address phone:** (704) 896-7005
- **Mailing address fax:** (704) 896-7115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 30568 | NC | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 04/05/2010