Individual
PETER MATTHEW YARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660-3837
(423) 403-8319
Mailing address
135 W RAVINE RD STE 5-B, KINGSPORT, TN 37660-3847
(423) 403-8319
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
67163
TN
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
67163
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2018
Last updated
06/14/2023
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