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Crystal Peacock
NPI 1245488840 · on the registry since 2008 · sole proprietor
Practice
- Address
- 15731 Circlegreen Dr
Charlotte, NC 28273 - Phone
- (336) 671-9984
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- NC
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-09-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina