Peacock Foot Clinic Pc

LBN: Peacock Foot Clinic Pc
Peacock Foot Clinic Pc is an health care organization with primary practice located at 325 Jefferson St , Whiteville NC 28472-3601. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as the primary health care specialty. Peacock Foot Clinic Pc can be contacted via phone (910) 642-7768, or through Peacock, Sonya King via phone (910) 642-7768.

Contact Information

Primary practice address
325 Jefferson St Whiteville NC 28472-3601
Phone: (910) 642-7768
Fax: (910) 642-6541
Website:
Map and Directions
Authorized official contact:
Name: Peacock, Sonya King
Phone: (910) 642-7768

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 382 North Carolina

Profile Details

NPI number 1770618183
LBN Legal business name Peacock Foot Clinic Pc
DBA Doing business as
Authorized official Peacock, Sonya King
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Dec 12th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770618183 NPPES
North Carolina Other 08003 BCBS NC
North Carolina MEDICAID 8908003 BCBS NC
North Carolina Other P00060043 BCBS NC

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