Basic Information
Provider Information
NPI: 1407858301
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARNHILL
FirstName: PEGGY
MiddleName: S
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5
Address2: 630 SOUTH MADISON STREET
City: WHITEVILLE
State: NC
PostalCode: 284720005
CountryCode: US
TelephoneNumber: 9106427463
FaxNumber: 9106422668
Practice Location
Address1: 630 S MADISON ST
Address2:  
City: WHITEVILLE
State: NC
PostalCode: 284724130
CountryCode: US
TelephoneNumber: 9106427463
FaxNumber: 9106422668
Other Information
ProviderEnumerationDate: 08/11/2005
LastUpdateDate: 03/25/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X200200639NCY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


Home