Individual
ARDITH FUNDERBURK PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
315 MAE RD, SALISBURY, NC 28146-8509
(980) 565-5885
Mailing address
315 MAE RD, SALISBURY, NC 28146-8509
(980) 565-5885
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
190122
NC
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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