Peacock, James Edward

Peacock, James Edward is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Peacock, James Edward can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
Medical Center Blvd Winston Salem NC 27157-0001
Phone: (336) 716-2255
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 23418 North Carolina
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 23418 North Carolina

Profile Details

NPI number 1578548558
LBN Legal business name Peacock, James Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated Dec 18th, 2014 - about 10 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1578548558 NPPES
Other 5282136 AETNA
MEDICAID Q23418 AETNA
Other 1811158439 AETNA
Other 440003755 AETNA
Other NC1806 AETNA
Other 66361 AETNA
Other 29170 AETNA
MEDICAID 6000286000 AETNA
MEDICAID 1811158439 AETNA
MEDICAID 6026583 AETNA
MEDICAID 8966361 AETNA
Other 3699 AETNA

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