Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD18414 | TN |
N | 207VX0000X | Obstetrician | MD018414 | TN |
NPI | 1356363568 |
---|---|
Provider Name | Dr. Paula Z Peeden |
First Address | Talbott, TN 37877-8605 |
Second Address | Alcoa, TN 37701-2236 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 09/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C36400 | (02) | TN |