# PETER G. STIMPSON MD FAAFP PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700059516
- **Authorized official:** DR. PETER G STIMPSON MD (PRACTICE OWNER)
- **Authorized official phone:** (865) 458-4647

## Contact information

- **Practice address:** 901 GROVE ST, LOUDON, TN 37774-1601
- **Practice address phone:** (865) 458-4647
- **Practice address fax:** (865) 458-9412
- **Mailing address:** 901 GROVE ST, LOUDON, TN 37774-1601
- **Mailing address phone:** (865) 458-4647
- **Mailing address fax:** (865) 458-9412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 4971 | TN | — |
| 207Q00000X | Family Medicine Physician | 8483 | TN | Yes |
| 207R00000X | Internal Medicine Physician | 27033 | TN | — |
| 207R00000X | Internal Medicine Physician | 4971 | TN | — |

## Other

- **Enumeration date:** 04/12/2008
- **Last updated:** 04/12/2008