Individual
DONALD FRANCIS PESCHONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
402 N PINE ST, LUMBERTON, NC 28358-5563
(910) 739-1666
(910) 739-6822
Mailing address
138 MEMORY PLZ, WHITEVILLE, NC 28472-2640
(910) 207-6218
(910) 207-6219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
103596
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0982PA
—
SC
05
—
1790706620
—
NC
Enumeration date
07/23/2006
Last updated
02/18/2020
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