Peacock, Mark D

Peacock, Mark D is an individual health care provider with primary practice located at 300 20Th Ave N Suite G-4, Nashville TN 37203-2131. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Peacock, Mark D can be contacted via phone (615) 284-5098.

Contact Information

Primary practice address
300 20Th Ave N Suite G-4 Nashville TN 37203-2131
Phone: (615) 284-5098
Fax: (615) 284-5385
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 27326 Tennessee
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 27326 Tennessee
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 27326 Tennessee

Profile Details

NPI number 1427052224
LBN Legal business name Peacock, Mark D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Feb 21st, 2023 - about 2 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 1427052224 NPPES
Tennessee MEDICAID Q005117
Tennessee Other 6017985

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