Individual
DR. PETER GAGNON STIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 GROVE ST, LOUDON, TN 37774-1509
(865) 458-8929
(865) 458-9412
Mailing address
901 GROVE ST, LOUDON, TN 37774-1509
(865) 458-8929
(865) 458-9412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
8483
TN
208D00000X
General Practice Physician
Primary
8483
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3157385
—
TN
Enumeration date
08/11/2006
Last updated
06/30/2010
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