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Ms. Crystal L Peacock
Specialist in Charlotte, North Carolina
NPI 1245488840

Crystal L Peacock is a Specialist based in Charlotte, NC. Crystal L Peacock practices in Charlotte, NC. The NPI Number for Crystal L Peacock is 1245488840 and holds a License No. 3264 (North Carolina).

The current practice location address for Crystal L Peacock is 15731 Circlegreen Dr, Charlotte, NC and can be reached out via phone at 336-671-9984.

Location: 15731 Circlegreen Dr, Charlotte, NC, 28273-6985
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245488840
Provider Name
Crystal L Peacock
Credential
Provider Entity Type
Individual
Gender
Female
Address
15731 Circlegreen Dr, Charlotte, NC, 28273-6985
Phone Number
336-671-9984
Fax Number
Provider Enumeration Date
09/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15731 Circlegreen Dr
City
Charlotte
State
North Carolina
Zip
28273-6985
Phone Number
336-671-9984
Fax Number
person
Provider Business Mailing Address Details
Address
15731 Circlegreen Dr
City
Charlotte
State
North Carolina
Zip
28273-6985
Phone Number
336-671-9984
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
3264 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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