Organization
PETER G. STIMPSON MD FAAFP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER G STIMPSON MD (PRACTICE OWNER)
(865) 458-4647
Entity
Organization
Contact information
Practice address
901 GROVE ST, LOUDON, TN 37774-1601
(865) 458-4647
(865) 458-9412
Mailing address
901 GROVE ST, LOUDON, TN 37774-1601
(865) 458-4647
(865) 458-9412
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
4971
TN
207Q00000X
Family Medicine Physician
Primary
8483
TN
207R00000X
Internal Medicine Physician
27033
TN
207R00000X
Internal Medicine Physician
4971
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3094813
—
TN
05
—
3101689
—
TN
05
—
3157385
—
TN
Enumeration date
04/12/2008
Last updated
04/12/2008
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