Individual
GLENN R PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9301 PARKWEST BOULEVARD, KNOXVILLE, TN 37923
(865) 694-9391
(865) 694-7780
Mailing address
9301 PARKWEST BOULEVARD, KNOXVILLE, TN 37923
(865) 694-9391
(865) 694-7780
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17519
TN
Other
Enumeration date
03/09/2006
Last updated
10/27/2021
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