Individual
DR. EDWARD HURST PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1685 E UNIVERSITY DR STE E, AUBURN, AL 36830
(334) 501-8867
(866) 929-4872
Mailing address
1685 E UNIVERSITY DR STE E, AUBURN, AL 36830-5217
(334) 501-8867
(866) 929-4872
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2129
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51001163
BLUE CROSS/BLUE SHEILD
AL
01
—
K495
MEDICARE GROUP
AL
Enumeration date
12/08/2006
Last updated
06/28/2018
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