Individual provider · Type 1 NPI

Brian Barkley Peacock, PA-C

Surgical Physician Assistant · Winston Salem, NC

NPI number 1437460623 Active

Practice location

Medical Center Blvd
Winston Salem, NC 27157-0001

Fax (336) 716-6637

Mailing address

PO Box 344
Winston Salem, NC 27102-0344

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X001002363 (NC)

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About NPI 1437460623

Brian Barkley Peacock, PA-C's National Provider Identifier is 1437460623, issued on Jun 23, 2010. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Winston Salem, NC. The record was last updated on Nov 12, 2010.