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Search › Tennessee › 103G00000X

Peter Young, PHD

NPI 1326090770 · on the registry since 2006 · sole proprietor

Practice

Address
10820 Kingston Pike
Suite 21
Knoxville, TN 37934
Phone
(865) 671-6935
Fax
(865) 675-0502
Organisation at this address
Fallen Leaf Medical
Master Remodelers Llc
Northglen Healing, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
103G00000X
103G00000X
Also registered as
103G00000X
103TC0700X
103TC0700X
Licence states on file
TN, WV
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2010-10-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee