Individual
DR. PEGGY E GOODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 STANTONSBURG RD, ECU PHYSICIANS EMERGENCY PHYSICIANS, GREENVILLE, NC 27834-2818
(252) 744-4757
(252) 744-4125
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
(252) 744-3253
(252) 744-3194
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35650
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36228
BCBS NC
NC
05
—
8936228
—
NC
01
—
930050212
RAILROAD MEDICARE
NC
Enumeration date
08/19/2005
Last updated
11/28/2011
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