Individual
MR. EDMUNDO H YIBIRIN PELUFFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
301 WOLVERINE TRAIL, SUITE 202, SMYRNA, TN 37167
(615) 801-2087
(615) 462-7062
Mailing address
301 WOLVERINE TRL STE 202, SMYRNA, TN 37167-5656
(615) 801-2087
(615) 462-7062
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
MD43802
TN
207V00000X
Obstetrics & Gynecology Physician
Primary
MD43802
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD0000043802
MEDICAL LICENSE
TN
05
—
Q029376
—
TN
Enumeration date
08/31/2007
Last updated
12/13/2024
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