Individual
CARL F PEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3530 HICKORY HILL RD, MEMPHIS, TN 38115-3840
(901) 881-6686
(901) 881-6690
Mailing address
3530 HICKORY HILL RD, MEMPHIS, TN 38115-3840
(901) 881-6686
(901) 881-6690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30641
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4049465
BCBS
TN
Enumeration date
05/08/2006
Last updated
12/21/2011
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