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Individual
DR. EDWARD HURST PEACOCK
Active
Individual
DR. EDWARD HURST PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2129
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51001163
BLUE CROSS/BLUE SHEILD
AL
01
—
K495
MEDICARE GROUP
AL
Enumeration date
12/08/2006
Last updated
06/28/2018
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