Individual
DR. JEFFREY WILSON PEEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1924 ALCOA HWY, KNOXVILLE, TN 37920-1511
(865) 544-9661
(865) 544-6148
Mailing address
2240 SUTHERLAND AVE STE 10, KNOXVILLE, TN 37919-2333
(865) 584-7376
(865) 584-8938
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
41920
TN
2085R0202X
Diagnostic Radiology Physician
D64391
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41920
MD LICENSE
TN
05
—
7100007710
—
KY
01
—
M60850
MARYLAND CDS #
MD
Enumeration date
07/12/2006
Last updated
03/07/2023
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