Peacock, Todd Phillip

Peacock, Todd Phillip is an individual health care provider with primary practice located at 145 Kimel Park Dr Ste 120 , Winston Salem NC 27103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Peacock, Todd Phillip can be contacted via phone (336) 768-3212.

Contact Information

Primary practice address
145 Kimel Park Dr Ste 120 Winston Salem NC 27103
Phone: (336) 768-3212
Fax: (336) 768-9019
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 52747 Tennessee
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 165574 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2012-01209 North Carolina

Profile Details

NPI number 1730400516
LBN Legal business name Peacock, Todd Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2010
Last updated Nov 13th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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