Peacock Foot Clinic Pc in Whiteville - Foot Surgery

Peacock Foot Clinic Pc - NPI 1770618183

Peacock Foot Clinic Pc is a Foot Surgery in Whiteville, North Carolina. Peacock Foot Clinic Pc practices all healthcare services and medical treatments related to Foot Surgery. The NPI Number for Peacock Foot Clinic Pc is 1770618183. The last update date is 2019-12-12.

Peacock Foot Clinic Pc's current location address is 325 Jefferson St, Whiteville, North Carolina. You can contact this provider via phone number 9106427768 and fax number 9106426541. The mailing address for Peacock Foot Clinic Pc is 325 Jefferson St, Whiteville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Peacock Foot Clinic Pc
Address 325 Jefferson St, Whiteville, North Carolina
Phone Number 9106427768
Fax Number 9106426541
Sole Proprietor --
Credentials --

Authorized Official

Title or Position SECRETARY
Authorized Official Name Peacock King Sonya
Telephone Number 9106427768

NPI Number Detail

NPI Number 1770618183
Provider Enumeration Date 2007-02-23
Last Updated Date 2019-12-12

Provider Mailing Address Detail

Address 325 Jefferson St
City Whiteville
State North Carolina (NC)
Post Code 284723601
Phone Number 9106427768
Fax Number 9106426541

Provider's Primary Taxonomy Detail

Speciality Foot Surgery
Taxonomy 213Es0131X
Licence No 382
Definition:
A doctor of podiatric medicine who specializes in performing foot and ankle surgeries.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8003 NC BCBS NC
8908003 NC --
P00060043 NC RR MEDICARE

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FAQs about Peacock Foot Clinic Pc

What is the unique identifier code issued to Peacock Foot Clinic Pc by the Centers for Medicare & Medicaid Services?

The Peacock Foot Clinic Pc has been assigned the NPI (National Provider Identifier) 1770618183. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Peacock Foot Clinic Pc is physically located?

The Peacock Foot Clinic Pc is situated at the following address: 325 Jefferson St, Whiteville, NC 284723601.

What is the area of specialization for Peacock Foot Clinic Pc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Peacock Foot Clinic Pc is Foot Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 213Es0131X.

When did the Peacock Foot Clinic Pc receive its 1770618183?

The Peacock Foot Clinic Pc was issued its 1770618183 on 2007-02-23, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Peacock Foot Clinic Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Peacock Foot Clinic Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-12-12.

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