Peacock, Jeffrey Edward
Peacock, Jeffrey Edward is an individual health care provider with primary practice located at 50 Miller St Ste I , Winston Salem NC 27104-4206. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Peacock, Jeffrey Edward can be contacted via phone (336) 277-2225.Contact Information
Primary practice address
50 Miller St Ste I
Winston Salem NC 27104-4206
Phone: (336) 277-2225
Fax: (336) 227-2231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2012-00459 | North Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 2012-00459 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 2012-00459 | North Carolina |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 2012-00459 | North Carolina |
Profile Details
| NPI number | 1811158439 |
|---|---|
| LBN Legal business name | Peacock, Jeffrey Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2008 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811158439 | NPPES |
| North Carolina | Other | 2012-00459 | NC MED LICENSE |
| North Carolina | MEDICAID | NC1806 | NC MED LICENSE |
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