Joanne Peck in Supply - Pediatrics

Joanne Peck - NPI 1790797108

Joanne Peck is a Pediatrics in Supply, North Carolina. Joanne Peck practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Joanne Peck is 1790797108. The last update date is 2007-07-09.

Joanne Peck's current location address is 14 Doctors Cir, Supply, North Carolina. You can contact this provider via phone number 9107547075 and fax number 9107542158. The mailing address for Joanne Peck is 14 Doctors Cir, Supply, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Joanne Peck
Address 14 Doctors Cir, Supply, North Carolina
Phone Number 9107547075
Fax Number 9107542158
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1790797108
Provider Enumeration Date 2006-08-13
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 14 Doctors Cir
City Supply
State North Carolina (NC)
Post Code 284624097
Phone Number 9107547075
Fax Number 9107542158

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 200101262
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20-0109889 NC TRICARE PROVIDER NUMBER
7031690 NC CIGNA IND PROVIDER NUMBER
1200360 NC UHC IND PROVIDER NUMBER
8912935 NC --
12932 NC BCBS OF NC IND PROVIDER
C7595 NC MEDCOST IND PROVIDER #

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FAQs about Joanne Peck

What is the unique provider identifier assigned to Joanne Peck?

The Joanne Peck has been issued the NPI (National Provider Identifier) 1790797108 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Joanne Peck is physically located?

The Joanne Peck is physically situated at the following address: 14 Doctors Cir, Supply, NC, 284624097.

What is Joanne Peck's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Joanne Peck is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

On what date did the Joanne Peck receive its 1790797108 assignment from the Centers for Medicare & Medicaid Services?

The Joanne Peck was assigned its 1790797108 by the Centers for Medicare & Medicaid Services on 2006-08-13.

As of what date were the details pertaining to Joanne Peck last refreshed?

The information related to the Joanne Peck, including its address, specialty, and other relevant details, was last updated on 2007-07-09.

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