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Organization

PETERSON BONE AND JOINT INSTITUTE PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KERI NUNLEY (MANAGER)
(931) 668-4585
Entity
Organization

Contact information

Practice address
1589 SPARTA ST, SUITE 203A, MCMINNVILLE, TN 37110-1390
(931) 668-4585
(931) 668-4586
Mailing address
3085 SPARTA ST, MCMINNVILLE, TN 37110-1364
(931) 815-2663
(931) 815-2664

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2130
TN

Other

Enumeration date
08/27/2012
Last updated
05/05/2020
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