Individual
BRENDA S PEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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
207VG0400X
Gynecology Physician
Primary
32556
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8966356
—
NC
Enumeration date
12/28/2005
Last updated
08/23/2012
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