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Contact Information

MARK H PETERS, MD
9037 POPLAR AVE
STE 101
GERMANTOWN, TN38138
 Phone: 901-235-5753
 Fax: 985-223-2604
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MARK H PETERS · (Male)

NPI Number 1962465153
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2006
Last updated 04/28/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 021122
  • TN License # 59671
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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