| NPI | 1902864762 |
|---|---|
| Professional Name | PENNY JEAN PEACOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: UT 3764531205) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 3764531205) |
| 208M00000X Hospitalist (Licence: UT 3764531205) | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2013-05-16 |