Individual
PEGGY GILLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
263 MORRIS RD, COVINGTON, TN 38019-7271
(901) 382-1200
(901) 382-8070
Mailing address
PO BOX 606, BRIGHTON, TN 38011-0606
(901) 382-1200
(901) 382-8070
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
34677
TN
Other
Enumeration date
06/22/2006
Last updated
07/21/2022
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