Organization
WASHINGTON WOMENS CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA S PEACOCK MD (OWNER PRESIDENT)
(252) 946-6544
Entity
Organization
Contact information
Practice address
1204 BROWN ST, WASHINGTON, NC 27889-4671
(252) 946-6544
(252) 975-6540
Mailing address
1204 BROWN ST, WASHINGTON, NC 27889-4671
(252) 946-6544
(252) 975-6540
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
33756
NC
207VG0400X
Gynecology Physician
Primary
32556
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01906
BCBS
—
05
—
8901906
—
NC
Enumeration date
07/20/2006
Last updated
10/05/2010
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