Individual
DR. PETER SHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-4923
Mailing address
1804 HIGHWAY 45 BYP STE 604, JACKSON, TN 38305-4403
(731) 660-8781
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
02005562A
IN
207R00000X
Internal Medicine Physician
3196
TN
Other
Enumeration date
04/22/2014
Last updated
10/15/2022
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