| Joseph Peters, M.d. | |
|
8917 Highway 57 Counce TN 38326 | |
| (731) 689-5232 | |
| (731) 689-3007 |
| Full Name | Joseph Peters, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 8917 Highway 57, Counce, Tennessee |
| Authorized Official Name and Position | Joseph A Peters (CLINIC OWNER) |
| Authorized Official Contact | 7316895232 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Peters, M.d. Po Box 304 Counce TN 38326-0304 Ph: (731) 689-5232 | Joseph Peters, M.d. 8917 Highway 57 Counce TN 38326 Ph: (731) 689-5232 |
| NPI Number | 1437357431 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0648240036 |
|---|---|
| Medicare Enrollment ID | O20040731000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437357431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph A Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225058407 PECOS PAC ID: 4183694573 Enrollment ID: I20040820000597 |
Family Clinic At The Lake Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11268 Highway 57, Counce, TN 38326 Phone: 731-689-4357 |