Provider Demographics
NPI:1326235029
Name:PEEK, STEVEN GREGORY
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:GREGORY
Last Name:PEEK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 E BLACKSTOCK RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-2652
Mailing Address - Country:US
Mailing Address - Phone:864-587-9957
Mailing Address - Fax:864-587-9948
Practice Address - Street 1:233 E BLACKSTOCK RD
Practice Address - Street 2:SUITE H
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-2652
Practice Address - Country:US
Practice Address - Phone:864-587-9957
Practice Address - Fax:864-587-9948
Is Sole Proprietor?:No
Enumeration Date:2007-09-27
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC409237700000X
NC1118237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist