Individual
ELIZABETH MARY PECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, AGNP-C
Contact information
Practice address
110 S PARK TER, EDEN, NC 27288-5351
(336) 627-3878
Mailing address
5005 BENNINGTON WAY, HIGH POINT, NC 27262-8473
(336) 908-6239
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5017623
NC
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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