| Brenda S Peacock, MD | |
|
1204 Brown St, Washington, NC 27889-4671 | |
| (252) 946-6544 | |
| (252) 975-6540 |
| Full Name | Brenda S Peacock |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 1204 Brown St, Washington, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942287271 | NPI | - | NPPES |
| 8966356 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 32556 (North Carolina) | Primary |
| Entity Name | Vidant Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477648731 PECOS PAC ID: 0345343893 Enrollment ID: O20070321000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda S Peacock, MD 1204 Brown St, Washington, NC 27889-4671 Ph: (252) 946-6544 | Brenda S Peacock, MD 1204 Brown St, Washington, NC 27889-4671 Ph: (252) 946-6544 |
Dr. James Douglas Harbin, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1210 Brown St, Washington, NC 27889 Phone: 252-975-1188 Fax: 252-975-3800 | |
Thomas J Andrews, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1210 Brown St, Washington, NC 27889 Phone: 252-975-1188 Fax: 252-975-3800 | |
Johnna M Cowin, FNP Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1204 Brown St, Washington, NC 27889 Phone: 252-946-6544 Fax: 252-975-6540 |