Individual
PETER H DAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD34406
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3858901
—
TN
01
—
4020993
BCBS PROVIDER NUMBER
—
01
—
930115815
RAILROAD MEDICARE
—
Enumeration date
05/15/2006
Last updated
01/08/2014
Update your record
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