Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 51513 | TN |
Y | 111NI0900X | Internist | 51513 | TN |
NPI | 1003198359 |
---|---|
Provider Name | Peter Meadows |
First Address | Murfreesboro, TN 37129-2245 |
Second Address | Murfreesboro, TN 37129-2245 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2011 |
Last Update Date | 01/08/2014 |