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Individual

LINDA DENISE PEERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
708 W FOREST AVE, JACKSON, TN 38301-3901
(731) 425-6574
(731) 435-6042
Mailing address
11023 S 1ST ST, MILAN, TN 38358-6175

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1273
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4121472
BCBS
TN
Enumeration date
05/25/2006
Last updated
07/08/2007
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