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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.

NPI # 1285723403
LBN Legal business name PEABODY INTERNAL MEDICINE, INC.
Authorized official ABDULLAH BAIG - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/12/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
TN License # 30578
TN Medicaid 3705275
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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