Individual
DR. JACOB PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 W MAIN ST, TROY, OH 45373-3384
(937) 980-7400
(937) 980-7409
Mailing address
502 W HIGHLAND BLVD, INVERNESS, FL 34452-4720
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.017612
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2021
Last updated
07/06/2026
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