Individual
DR. NICOLE MARIE PECKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
19 PROMENADE ST, BLUFFTON, SC 29910-7037
(843) 815-4343
Mailing address
204 MULBERRY GROVE LN, BLUFFTON, SC 29910-7987
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2002
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D20029
—
SC
Enumeration date
06/20/2017
Last updated
08/27/2021
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