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Peacock-bettendorf, Llc
Spinal Cord Injury Medicine Physician in Wilmington, North Carolina
NPI 1134236078

Peacock-bettendorf, Llc is a Spinal Cord Injury Medicine Physician based in Wilmington, NC and is specialized in Spinal Cord Injury Medicine. Peacock-bettendorf, Llc practices in Wilmington, NC. The NPI Number for Peacock-bettendorf, Llc is 1134236078 and holds a License No. 9400419 (North Carolina).

The current practice location address for Peacock-bettendorf, Llc is 2208 S 17Th St, Wilmington, NC and can be reached out via phone at 910-251-6755 and via fax at 910-458-8619.

Location: 2208 S 17Th St, Wilmington, NC, 28408-5671
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1134236078
Provider Name
Peacock-bettendorf, Llc
Credential
Provider Entity Type
Organization
Address
2208 S 17Th St, Wilmington, NC, 28408-5671
Phone Number
910-251-6755
Fax Number
910-458-8619
Provider Enumeration Date
08/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130AX 01 NC BLUE CROSS/BLUE SHIELD
89130AX 05 NC
institution
Provider Business Practice Location Address Details
Address
2208 S 17Th St
City
Wilmington
State
North Carolina
Zip
28401-7515
Phone Number
910-251-6755
Fax Number
910-458-8619
person
Provider Business Mailing Address Details
Address
2208 S 17Th St
City
Wilmington
State
North Carolina
Zip
28401-7515
Phone Number
910-251-6755
Fax Number
910-458-8619
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Spinal Cord Injury Medicine
Taxonomy
2081P0004X
License No.
9400419 (North Carolina)
Definition
A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications.
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