Whalio Doctors

NPI 1144250036

Jerry Peters, MD

Practitioner Emergency Medicine Physician Jackson, TN

Practice location

Address
708 W Forest Ave, Jackson, TN 38301-3901
Phone
(731) 660-8759
Mailing address
1804 Highway 45 Byp STE 604, Jackson, TN 38305-4436

Registered specialties

Emergency Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 15795 (TN)

Registry record

NPI
1144250036
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jul 2006
Record last updated
16 Jul 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.