Peacock, Andrew
Peacock, Andrew is an individual health care provider with primary practice located at 100 Brewster Blvd , Camp Lejeune NC 28547-2575. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Peacock, Andrew can be contacted via phone (910) 450-4357.Contact Information
Primary practice address
100 Brewster Blvd
Camp Lejeune NC 28547-2575
Phone: (910) 450-4357
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2015-02193 | North Carolina |
Profile Details
NPI number | 1356760680 |
---|---|
LBN Legal business name | Peacock, Andrew |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 15th, 2014 |
Last updated | May 3rd, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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