Organization
M. TODD PEACOCK, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TODD PEACOCK (PRESIDENT)
(478) 374-5774
Entity
Organization
Contact information
Practice address
911 PLAZA AVE, SUITE C, EASTMAN, GA 31023-6785
(478) 374-5774
(478) 374-9112
Mailing address
911 PLAZA AVE, SUITE C, EASTMAN, GA 31023-6785
(478) 374-5774
(478) 374-9112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/11/2007
Last updated
02/23/2009
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