Organization
MARK D. PEACOCK MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DOUGLAS PEACOCK M.D. (OWNER)
(704) 896-7005
Entity
Organization
Contact information
Practice address
16623 BIRKDALE CMNS PKWY, SUITE 130, HUNTERSVILLE, NC 28078-5621
(704) 896-7005
(704) 896-7115
Mailing address
16623 BIRKDALE CMNS PKWY, SUITE 130, HUNTERSVILLE, NC 28078-5621
(704) 896-7005
(704) 896-7115
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
30568
NC
Other
Enumeration date
03/03/2008
Last updated
04/05/2010
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