| Dr Joanne Peck, MD | |
|
14 Doctors Cir, Suite 3, Supply, NC 28462-4097 | |
| (910) 754-7075 | |
| (910) 754-2158 |
| Full Name | Dr Joanne Peck |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 14 Doctors Cir, Supply, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790797108 | NPI | - | NPPES |
| 20-0109889 | Other | NC | TRICARE PROVIDER NUMBER |
| 7031690 | Other | NC | CIGNA IND PROVIDER NUMBER |
| 1200360 | Other | NC | UHC IND PROVIDER NUMBER |
| 8912935 | Medicaid | NC | |
| 12932 | Other | NC | BCBS OF NC IND PROVIDER |
| C7595 | Other | NC | MEDCOST IND PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 200101262 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Joanne Peck, MD 14 Doctors Cir, Suite 3, Supply, NC 28462-4097 Ph: (910) 754-7075 | Dr Joanne Peck, MD 14 Doctors Cir, Suite 3, Supply, NC 28462-4097 Ph: (910) 754-7075 |
Lori Anne Tackman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Medical Campus Dr Nw Ste 205, Supply, NC 28462 Phone: 910-721-4400 Fax: 910-721-4409 |