Provider Demographics
NPI:1295361764
Name:PECK, MARGARET K (MPH)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:K
Last Name:PECK
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1956 LONG CREEK RD
Mailing Address - Street 2:
Mailing Address - City:WADMALAW ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29487-7043
Mailing Address - Country:US
Mailing Address - Phone:843-343-7556
Mailing Address - Fax:
Practice Address - Street 1:1956 LONG CREEK RD
Practice Address - Street 2:
Practice Address - City:WADMALAW ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29487-7043
Practice Address - Country:US
Practice Address - Phone:843-343-7556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-17
Last Update Date:2020-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator