Individual
DR. IVAN Y PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 ROUNDABOUT CT, ROCKY MOUNT, NC 27804-3573
(252) 443-4024
(252) 443-5021
Mailing address
131 ROUNDABOUT CT, ROCKY MOUNT, NC 27804-3573
(252) 443-4024
(252) 443-5021
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28299
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-66375
—
NC
Enumeration date
08/02/2005
Last updated
03/07/2023
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