Organization
GERIATRIC CLINICAL CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIFFANY PEGGS MD (OWNER)
(901) 831-6844
Entity
Organization
Contact information
Practice address
5606 CLOVERLAND DR APT 110, BRENTWOOD, TN 37027-4877
(615) 200-0981
Mailing address
4849 N MESA ST STE 201, EL PASO, TX 79912-5919
(915) 351-6600
(915) 351-6601
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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