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Individual
DR. JEFFREY EDWARD PEACOCK
Active
Individual
DR. JEFFREY EDWARD PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2012-00459
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
2012-00459
NC
208VP0000X
Pain Medicine Physician
Primary
2012-00459
NC
208VP0014X
Interventional Pain Medicine Physician
2012-00459
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012-00459
NC MED LICENSE
NC
05
—
NC1806
—
SC
Enumeration date
06/17/2008
Last updated
03/07/2023
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