Provider Demographics
NPI:1700068053
Name:PEGGY SUE BARNHILL MD PA
Entity Type:Organization
Organization Name:PEGGY SUE BARNHILL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:S
Authorized Official - Last Name:BARNHILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-642-7463
Mailing Address - Street 1:PO BOX 5
Mailing Address - Street 2:630 SOUTH MADISON STREET
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-0005
Mailing Address - Country:US
Mailing Address - Phone:910-642-7463
Mailing Address - Fax:910-642-2668
Practice Address - Street 1:630 S MADISON ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-4130
Practice Address - Country:US
Practice Address - Phone:910-642-7463
Practice Address - Fax:910-642-2668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200639207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty