Provider Demographics
NPI:1578760807
Name:H. PETERKIN & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:H. PETERKIN & ASSOCIATES, LLC
Other - Org Name:RESPONSELINK OF THE SOUTHEAST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:HUBERT
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:PETERKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-670-4341
Mailing Address - Street 1:909 ADCOX RD
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-6521
Mailing Address - Country:US
Mailing Address - Phone:910-670-4341
Mailing Address - Fax:910-848-0706
Practice Address - Street 1:909 ADCOX RD
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-6521
Practice Address - Country:US
Practice Address - Phone:910-670-4341
Practice Address - Fax:910-848-0706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment