PEACOCK PRIMARY CARE, LLC

SHREVEPORT, LA
NPI1578333639
Entity TypeOrganization
Authorized ContactBRANDY PEACOCK
Owner
318-510-3943
Organization Subpart ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
Enumeration Date2024-01-08
Last Update Date2024-01-08
Business Address
PEACOCK PRIMARY CARE, LLC
426 GOLDSBERRY CIR
SHREVEPORT, LA 71106-8346
Phone number: 318-510-3943
Mailing Address
PEACOCK PRIMARY CARE, LLC
426 GOLDSBERRY CIR
SHREVEPORT, LA 71106-8346
Phone number: 318-510-3943