Individual
MS. AMALIA JO PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-3725
(615) 322-3000
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37232-5181
(615) 322-5000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
65610
TN
390200000X
Student in an Organized Health Care Education/Training Program
218104
NC
390200000X
Student in an Organized Health Care Education/Training Program
304228
NY
Other
Enumeration date
04/25/2016
Last updated
08/24/2022
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