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Contact Information

PEABODY INTERNAL MEDICINE, INC.
8081 HWY . 51 NORTH
MILLINGTON, TN38053
 Phone: 901-873-4194
 Fax: 901-872-6553
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for PEABODY INTERNAL MEDICINE INC · (Female)

NPI # 1285723403
Status Active
Credentials
Entity Individual
Enumeration date 10/12/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # 30578
  • TN Medicaid 3705275
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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