Provider Demographics
NPI:1336172600
Name:HARCY, PETER (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:
Last Name:HARCY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1335
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37133-1335
Mailing Address - Country:US
Mailing Address - Phone:615-796-6122
Mailing Address - Fax:
Practice Address - Street 1:186 HOSPITAL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:WINCHESTER
Practice Address - State:TN
Practice Address - Zip Code:37398-2472
Practice Address - Country:US
Practice Address - Phone:931-962-9035
Practice Address - Fax:931-962-9037
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD00000092602085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology