Individual
PEGGIE BILLODEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 RIDGE ST, BLACK MOUNTAIN, NC 28711-3338
(828) 450-2296
Mailing address
103 RIDGE ST, BLACK MOUNTAIN, NC 28711-3338
(828) 450-2296
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1308
NC
Other
Enumeration date
02/14/2016
Last updated
02/14/2016
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