Individual
PETER LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
700 W FOREST AVE, SUITE 300, JACKSON, TN 38301-3937
(731) 422-0310
(731) 422-0475
Mailing address
PO BOX 400, JACKSON, TN 38302-0400
(731) 423-8697
(731) 422-5743
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD49088
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529644
—
TN
Enumeration date
09/27/2007
Last updated
11/30/2021
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