Peacock Foot Clinic, Pc

LBN: Peacock Foot Clinic, Pc
Peacock Foot Clinic, Pc is an health care organization with primary practice located at 409 Williams St , Elizabethtown NC 28337. 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, Don via phone (910) 642-7768.

Contact Information

Primary practice address
409 Williams St Elizabethtown NC 28337
Phone: (910) 642-7768
Fax: (910) 642-6541
Website:
Map and Directions
Authorized official contact:
Name: Peacock, Don Doctor of Podiatric Medicine (DPM)
Phone: (910) 642-7768

Health care specialties

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

Profile Details

NPI number 1982858874
LBN Legal business name Peacock Foot Clinic, Pc
DBA Doing business as
Authorized official Peacock, Don Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 5th, 2008
Last updated Nov 5th, 2008 - about 16 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 1982858874 NPPES
North Carolina MEDICAID 8908003

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