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Individual

DR. JAMES MATTHEW PECKINPAUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2402 SOUTH CANNON BLVD, KANNAPOLIS, NC 28083-6910
(704) 938-4886
(704) 938-5644
Mailing address
2402 SOUTH CANNON BLVD, KANNAPOLIS, NC 28083-6910
(704) 938-4886
(704) 938-5644

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39059
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
66442
BLUE CROSS
NC
05
8966442
NC
Enumeration date
10/18/2006
Last updated
08/15/2008
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