Individual
JEFFERY DYLAN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2215 GARLAND AVE STE 203, NASHVILLE, TN 37232-0019
(615) 364-2036
Mailing address
219 COX HOLLOW RD, KINGSPORT, TN 37664-5531
(423) 276-5520
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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