Individual
KATHERINE ANN PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(800) 935-8387
Mailing address
2400 CANAL ST, NEW ORLEANS, LA 70119-6535
(800) 935-8387
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
335576
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2020
Last updated
05/20/2023
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