Provider Demographics
NPI:1013159094
Name:PEAVEY, MARY CAROLYN (MD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:CAROLYN
Last Name:PEAVEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNC DEPARTMENT OF OB/GYN DIVISION OF REI
Mailing Address - Street 2:4002 OLD CLINIC BLDG./CB# 7570
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-8744
Mailing Address - Country:US
Mailing Address - Phone:919-966-5283
Mailing Address - Fax:
Practice Address - Street 1:7920 ACC BLVD STE 300
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-8744
Practice Address - Country:US
Practice Address - Phone:214-868-0701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP6499207V00000X
NC158261207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology