Individual
DR. JOHN J PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
131 MONTGOMERY LN, MARYVILLE, TN 37803-5649
(865) 681-0520
Mailing address
1536 MINT MEADOWS DR, MARYVILLE, TN 37803-2542
(865) 982-5378
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
33314
TN
Other
Enumeration date
11/05/2008
Last updated
11/05/2008
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