Organization · Type 2 NPI
Peacock Foot Clinic, PC
Foot Surgery Podiatrist · Elizabethtown, NC
NPI number
1982858874
Active
Practice location
409 Williams St
Elizabethtown, NC 28337
Fax (910) 642-6541
Mailing address
325 Jefferson St
Whiteville, NC 28472-3601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist Primary | 213ES0131X | 382 (NC) |
Foot Surgery Podiatrist: Definition to come...
About NPI 1982858874
Peacock Foot Clinic, PC's National Provider Identifier is 1982858874, issued on Nov 5, 2008. The primary taxonomy on file is Foot Surgery Podiatrist (213ES0131X), and the practice location is in Elizabethtown, NC. The record was last updated on Nov 5, 2008.