Individual
ALLEN MONROE PEABODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 25TH AVE N, STE 201, NASHVILLE, TN 37203-1515
(615) 329-0195
(615) 329-0211
Mailing address
515 STONECREST PKWY, STE 210, SMYRNA, TN 37167-6826
(615) 625-7112
(615) 625-7028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48127
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1526584
—
TN
Enumeration date
04/27/2009
Last updated
01/21/2013
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