Individual
DR. TIMOTHY PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2934 POINT MALLARD PKWY SE STE B2, DECATUR, AL 35603-5710
(256) 584-9554
(256) 253-5502
Mailing address
14608 WATERVIEW LN, ATHENS, AL 35613-1606
(618) 977-5419
(256) 253-5502
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038007895
IL
111N00000X
Chiropractor
Primary
1488
AL
111N00000X
Chiropractor
6062
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06007868
BCBS ILLINOIS
IL
01
—
105091
BCBS MISSOURI
MO
01
—
1891268439
BC ALABAMA
AL
01
—
30447
GHP
—
01
—
371384821
TRICARE
—
01
—
4400120
UHC
—
01
—
U39962
MERCY
—
Enumeration date
03/21/2006
Last updated
11/02/2023
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