Individual
DR. PETER G EMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4709 PAPERMILL DR, SUITE 201, KNOXVILLE, TN 37909-1921
(865) 766-6870
(865) 766-0133
Mailing address
2001 LAUREL AVE # N304, KNOXVILLE, TN 37916-1810
(865) 595-4100
(865) 525-6811
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
29136
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300086478
RR MEDICARE
TN
05
—
3816909
—
TN
01
—
4023273
BC/BS OF TN
TN
05
—
64928856
—
KY
Enumeration date
03/29/2006
Last updated
05/08/2023
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