Individual
DR. JAMES G PEDEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
521 MOYE BLVD FL 2, ECU PHYSICIANS INTERNAL MEDICINE, GREENVILLE, NC 27834-2849
(252) 744-3229
(252) 744-3224
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24610
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110128302
RAILROAD MEDICARE
NC
01
—
66501
BCBS NC
NC
05
—
8966501
—
NC
Enumeration date
09/12/2005
Last updated
12/05/2011
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