Organization
DOC PEACOCKS GREENFIELD COUNTRY MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMA PEACOCK MD (MD/OWNER)
(518) 893-6075
Entity
Organization
Contact information
Practice address
68 WEST AVE STE 3, SARATOGA SPRINGS, NY 12866-6044
(518) 450-9180
(518) 886-1690
Mailing address
PO BOX 159, GREENFIELD CENTER, NY 12833-0159
(518) 450-9180
(518) 886-1690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
239931
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02804144
—
NY
Enumeration date
12/01/2008
Last updated
07/21/2022
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