Individual
MARK T. PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4230 HARDING PIKE, SUITE 400, NASHVILLE, TN 37205-2013
(615) 297-2700
(615) 386-2399
Mailing address
104 WOODMONT BLVD, SUITE 400, NASHVILLE, TN 37205-2245
(615) 386-2300
(615) 386-2399
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
021581
TN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
021581
TN
207RP1001X
Pulmonary Disease Physician
Primary
21581
TN
2080P0214X
Pediatric Pulmonology Physician
021581
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10077103
AMERIGROUP-TNCARE AND MCR ADVANTAGE
TN
01
—
1100342185
USA PPO-GEHA
TN
01
—
12255039
MULTIPLAN/PHCS
TN
05
—
1508914
—
TN
01
—
164099509
UNITED HEALTHCARE
TN
01
—
2092886
CIGNA
TN
01
—
290013797
MEDICARE RR
TN
01
—
4018883
BLUE CROSS OF TN
TN
01
—
5557149
AETNA
TN
05
—
64920762
—
KY
01
—
849925
USA-MCO
TN
01
—
TN0190
AMERICHOICE-TENNCARE ONLY
TN
Enumeration date
06/12/2006
Last updated
05/07/2015
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