Basic Information
| Provider Information | |||||||||
| NPI: | 1700068053 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | PEGGY SUE BARNHILL MD PA | ||||||||
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| 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: | 11/28/2007 | ||||||||
| LastUpdateDate: | 03/25/2013 | ||||||||
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| AuthorizedOfficialLastName: | BARNHILL | ||||||||
| AuthorizedOfficialFirstName: | PEGGY | ||||||||
| AuthorizedOfficialMiddleName: | S | ||||||||
| AuthorizedOfficialTitleorPosition: | MEDICAL DOCTOR | ||||||||
| AuthorizedOfficialTelephone: | 9106427463 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 200200639 | NC | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.