Individual
STEPHANIE OLGA PEACOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1331 N ELM ST STE 200, GREENSBORO, NC 27401-6304
(336) 274-6682
(336) 274-8097
Mailing address
PO BOX 85378, CHICAGO, IL 60689-5378
(336) 274-6682
(336) 274-8097
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21931
FL
2085R0202X
Diagnostic Radiology Physician
Primary
2019-00925
NC
Other
Enumeration date
10/21/2015
Last updated
10/02/2025
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