Individual
RENATA PEAVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2241 THORNTON TAYLOR PKWY, FAYETTEVILLE, TN 37334-3637
(888) 291-4357
Mailing address
2241 THORNTON TAYLOR PKWY, FAYETTEVILLE, TN 37334-3637
(888) 291-4357
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2015
Last updated
01/29/2015
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