Organization Name: | MARK D. PEACOCK MD PC |
NPI Number: | 1194995423 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK DOUGLAS PEACOCK (OWNER) |
Mailing Address: | 16623 Birkdale Cmns Pkwy Suite 130 Huntersville |
State: | NC US |
Postal Code: | 280785621 |
Phone Number: | 7048967005 |
Fax Number: | 7048967115 |
NPI Enumeration Date: | 03/03/2008 |
NPI Last Update Date: | 04/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 30568 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |