Individual
JOSEPH A PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8917 HIGHWAY 57, COUNCE, TN 38326
(732) 689-5232
(731) 689-3007
Mailing address
P.O. BOX 304, COUNCE, TN 38326
(731) 689-5232
(731) 689-3007
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD13487
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3188669
—
TN
Enumeration date
07/20/2006
Last updated
03/07/2023
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