| NPI | 1194995423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DOUGLAS PEACOCK Owner 704-896-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NC 30568) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2010-04-05 |